Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore, 11, Jalan Tan Tock Seng, 308433, Singapore.
Department of Diagnostic Radiology, Khoo Teck Puat Hospital, Singapore, 90 Yishun Central, 768828, Singapore.
Clin Imaging. 2021 Jan;69:150-157. doi: 10.1016/j.clinimag.2020.06.037. Epub 2020 Jul 1.
Accidental ingestion of fish bone is a common occurrence in populations that consume unfilleted fish. Although most ingested foreign bodies pass through the gastrointestinal tract uneventfully within a week, less than 1% of patients unfortunately develop gastrointestinal perforation. Occasionally, some patients who are unaware of an episode of fish bone ingestion may present sub-acutely with symptoms mimicking inflammatory conditions or pyrexia of unknown origin. Computed tomography (CT) is the definitive imaging modality in the diagnosis of fish bone foreign body and its complications. This pictorial essay aims to illustrate the various complications related to fish bone ingestion, broadly divided into gastrointestinal related complications and extra-gastrointestinal complications related to migration of fish bone. Radiologists should be familiar with the myriad of possible complications, and take heed that a relevant history of fish bone ingestion is often absent.
误吞鱼骨在食用未去骨鱼类的人群中很常见。尽管大多数被吞下的异物在一周内会顺利通过胃肠道，但不幸的是，不到 1%的患者会发展为胃肠道穿孔。偶尔，一些没有意识到误吞鱼骨的患者可能会亚急性出现类似炎症或不明原因发热的症状。计算机断层扫描（CT）是诊断鱼骨异物及其并发症的明确影像学手段。本文旨在阐述与误吞鱼骨相关的各种并发症，大致可分为与胃肠道相关的并发症和鱼骨迁移引起的与胃肠道无关的并发症。放射科医生应熟悉多种可能的并发症，并注意到通常不存在相关的鱼骨误吞史。
