Saleem Athary, Alenezi Saqer, Abdulbaqi Seddeqah, Saud Anas, Al-Shadidi Nimer
Department of General Surgery, Al-Adan Hospital, Kuwait.
Department of General Surgery, Al-Adan Hospital, Kuwait.
Int J Surg Case Rep. 2023 Sep;110:108608. doi: 10.1016/j.ijscr.2023.108608. Epub 2023 Aug 6.
Foreign body ingestion, particularly fishbone, is a prevalent medical complaint in the emergency department. Usually, these foreign substances pass through the gastrointestinal tract without causing any complications. The clinical manifestations of foreign body consumption are non-specific.
A 32-year-old male patient presented to our hospital with severe abdominal pain. Physical examination revealed a distended abdomen and tenderness. Plain chest and abdominal X-rays were unremarkable. The performed computed tomography (CT) of the abdominopelvic region showed multiple abscesses. Then, an exploratory laparotomy was decided during which a foreign body, a fishbone, was detected and the affected omental mass was resected, and abscess drainage was done. The resected specimen was sent for histopathological studies. The postoperative period was uneventful.
Perforation of the intestinal wall by fishbone ingestion is an unusual entity. The clinical features of intestinal perforation are usually non-specific resulting in delayed diagnosis. Based on individual situations, the treatment strategy can be surgical or non-surgical.
Even though ingesting a foreign body is a frequent complaint in clinical practice, its repercussions are extremely rare. Our case presented multiple intra-abdominal abscesses and perforation as a complication of accidental fishbone ingestion.
异物摄入，尤其是鱼骨，是急诊科常见的医疗问题。通常，这些异物会通过胃肠道而不引起任何并发症。异物摄入的临床表现不具有特异性。
一名32岁男性患者因严重腹痛前来我院就诊。体格检查发现腹部膨隆且有压痛。胸部及腹部平片未见明显异常。所进行的腹部盆腔计算机断层扫描（CT）显示有多个脓肿。随后决定进行剖腹探查术，术中发现一个异物，即一根鱼骨，并切除了受影响的网膜肿块，同时进行了脓肿引流。切除的标本送去做组织病理学研究。术后恢复顺利。
鱼骨摄入导致肠壁穿孔是一种不常见的情况。肠穿孔的临床特征通常不具有特异性，导致诊断延迟。根据个体情况，治疗策略可以是手术治疗或非手术治疗。
尽管在临床实践中异物摄入是常见的问题，但其后果极为罕见。我们的病例显示了意外鱼骨摄入导致的多个腹腔内脓肿和穿孔这一并发症。
