2012 Volume 58 Issue 5 Pages 441-444
A 63-year-old man was admitted to our hospital with right inguinal pain, and abdominal CT scan showed an abscess of the ileocecal area and linear high density in the lower part of the cecum. We suspected the presence of a foreign body such as a fish bone, and an emergency operation was carried out. A fish bone was found in the abscess adjacent to the perforated appendix. In Japan, many cases of perforation of the appendix by fish bone have been reported, but preoperative diagnosis is very difficult. We must assume the presence of a fish bone if a linear high density is detected on CT scan, and careful clinical assessment is required.
