Proença Ana Luísa, Bogalho Lucinda
Radiology, Centro Hospitalar Universitário Lisboa Central, Lisbon, PRT.
Cureus. 2020 May 5;12(5):e7973. doi: 10.7759/cureus.7973.
Unintentional ingestion of fish bones is a common but frequently unrecognized occurrence at the emergency room. Most ingested fish bones pass through the gastrointestinal tract without complications, but approximately 1% may perforate and cause acute abdomen, peritonitis and/or abscesses, requiring emergent surgery. Clinical presentation is non-specific and computed tomography is essential to confirm the diagnosis and guide the surgery. We present a case of gastric perforation by fish bone and discuss the clinical and radiological challenges in the diagnosis of this condition.
无意中吞食鱼骨在急诊室是一种常见但常未被识别的情况。大多数吞食的鱼骨可通过胃肠道而无并发症，但约1%可能会穿孔并导致急腹症、腹膜炎和/或脓肿，需要紧急手术。临床表现不具特异性，计算机断层扫描对于确诊和指导手术至关重要。我们报告一例鱼骨导致胃穿孔的病例，并讨论这种情况诊断中的临床和放射学挑战。
