A Case of Laparoscopic Appendectomy for Perforation of the Appendix Caused by a Fish Bone

Abstract

A 68-year-old man who had abdominal pain in the right lower-quadrant was admitted to a local hospital. A foreign body was detected in the ileocecal area, and he was referred to our hospital for additional treatment. Abdominal computed tomography showed a foreign body with linear high density in the appendix, and inflammatory changes around the appendix. Emergency laparoscopic surgery was performed. After identifying that the perforated appendix had been caused by the foreign body together with an abscess, a laparoscopic appendectomy was performed. The foreign body subsequently turned out to be a fish bone. There are no reports about laparoscopic appendectomies for perforation of the appendix by fish bones. The good result in our case suggested that laparoscopic appendectomy might be a useful treatment for perforation of the appendix caused by a fish bone.