Abstract
We experienced a case of intra-abdominal abscess due to fish bone penetration. A 38-year-old man was admitted to our hospital because of a lower abdominal pain. He had an abdominal mass and abdominal CT and magnetic resonance imaging revealed an intra-abdominal abscess with a fish bone. The laparotomy was carried out. Operative findings were an intra-abdominal abscess with a fish bone surrounded by the omentum. The sigmoid colon appeared to be a penetrated site. An about 2.5 cm fish bone was removed and partial omentectomy and peritoneal drainage was performed. Postoperative course was uneventful and the patient was discharged on the 21st postoperative day.
Intra-abdominal abscess due to fish bone penetration is a relatively rare entity. It has been believed that the preoperative diagnosis is difficult, but that CT examination is effective in preoperative diagnosis.