Author:
Islam Shariful,Maughn Anthony,Harnarayn Patrick,Naraynsingh Vijay
Abstract
Accidental ingestion of foreign bodies is a commonly encountered event in clinical practice. However, small bowel perforation due to a fish bone is a rare phenomenon. Often, the exact diagnosis is missed preoperatively and is revealed only at laparotomy. Delay in diagnosis and treatment can be associated with significant morbidity and mortality. We report a case of 54- year male who presented with right lower quadrant pain with nausea and vomiting. Clinically, Acute appendicitis was diagnosed. Computerized tomography (CT) of the abdomen confirmed pockets of free air in the right lower quadrant with fat streaking suggestive of perforated ileum. On exploratory laparotomy, the ileal perforation was confirmed secondary to a fish bone. Although rare, foreign body perforation of the small bowel should be entertained in the differential diagnosis in certain groups of patients presenting with acute abdomen.
Publisher
Granthaalayah Publications and Printers
Reference40 articles.
1. E. Mc Canse, A. Kurchin, S.R. Hinshaw Gastrointestinal foreign bodies Am J Surg, 142 (1981), pp. 335–337
2. M.A. Pinero, J.A. Fernandez, P.M. Carrasco, R.J. Riguelme, P.P. Parrilla, Intestinal perforation by foreign bodies Eur J Surg, 166 (2000), pp. 307–309
3. Ayantunde AA and Oke T (2006), A review of gastrointestinal foreign goodies; International Journal of Clinical Practice 60(6) 735–9
4. Nagaraj HS and Sunil I (2005). Multiple foreign body ingestion and ileal perforation, Paediatric Surgery International 21(9) 718–20
5. Jo Nandi P and Ong GB (1978). Foreign body in oesophagus: review of 2394 cases. British Journal of Surgery 65 5–9