ENDOSCOPIC REMOVAL OF A SPONTANEOUSLY DISLODGED FISH BONE FROM SMALL BOWEL PERFORATION: A CASE REPORT

Abstract

An 80-year-old woman presented to the hospital with acute abdominal pain. On examination, she had mild tenderness in the lower abdomen, but no signs of peritoneal irritation. Based on an abdominal CT and her medical history, she was diagnosed with small intestinal perforation by a fish bone. The fish bone had already been fallen out from the perforation site, causing minimal abdominal findings and a mild inflammatory response. Therefore, nonsurgical treatment was provided. Her symptoms and inflammatory response had improved by the ninth day of hospitalization. Abdominal CT revealed that the fish bone was residual in the ascending colon. Because it could have caused damage such as colonic perforation again, it was removed via CS. The patient's postoperative course was uneventful, and she was discharged on the 17th day of hospitalization. The strategy of treatment for residual the intestinal fish bone was discussed and reported based on previous reports similar to the present case.