Display Settings:

Format

Send to:

Choose Destination
World J Gastroenterol. 2012 Nov 7;18(41):5994-8. doi: 10.3748/wjg.v18.i41.5994.

Medical treatment for a fish bone-induced ileal micro-perforation: a case report.

Author information

  • 1Department of Emergency Medicine, Kang-Ning General Hospital, Taipei City 114, Taiwan, China.

Abstract

Ingested fish bone induced intestinal perforations are seldom diagnosed preoperatively due to incomplete patient history taking and difficulties in image evidence identification. Most literature suggests early surgical intervention to prevent sepsis and complications resulting from fish bone migrations. We report the case of a 44-year-old man suffered from acute abdomen induced by a fish bone micro-perforation. The diagnosis was supported by computed tomography (CT) imaging of fish bone lodged in distal ileum and a history of fish ingestion recalled by the patient. Medical treatment was elected to manage the patient's condition instead of surgical intervention. The treatment resulted in a complete resolution of abdominal pain on hospital day number 4 without complication. Factors affecting clinical treatment decisions include the nature of micro-perforation, the patient's good overall health condition, and the early diagnosis before sepsis signs develop. Micro-perforation means the puncture of intestine wall without CT evidence of free air, purulent peritoneum or abscess. We subsequently reviewed the literature to support our decision to pursue medical instead of surgical intervention.

KEYWORDS:

Decision-making; Fish bone ingestion; Medical treatment; Micro-perforation; Small intestine

PMID:
23139620
[PubMed - indexed for MEDLINE]
PMCID:
PMC3491611
Free PMC Article

Images from this publication.See all images (2)Free text

Figure 1
Figure 2
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Baishideng Publishing Group Co., Limited Icon for PubMed Central
    Loading ...
    Write to the Help Desk