Diagnostic and Interventional Radiology
Abdominal Imaging - Case Report

Acute abdomen caused by a small bowel perforation due to a clinically unsuspected fish bone

1.

Departments of Radiology, Venizeleion General Hospital, Heraklion, Greece

2.

Departments of Surgery, Venizeleion General Hospital, Heraklion, Greece

Diagn Interv Radiol 2011; 17: 160-162
DOI: 10.4261/1305-3825.DIR.3236-09.1
Read: 806 Downloads: 455 Published: 03 September 2019

Abstract

We report the case of a 78-year-old woman with a three-day history of abdominal pain and vomiting. An abdominal plain film showed a distended small bowel loop and no signs of free intra-abdominal gas. An abdominal ultrasound revealed a mass containing a linear, hyperechoic structure. The mass was connected through a sinus tract to an adjacent aperistaltic small bowel loop. A laparotomy revealed a jejunal perforation and an omental granuloma containing a fish bone. Accidentally ingested foreign bodies should always be suspected in cases of acute abdomen, and ultrasonography remains a firstline examination tool for preoperative diagnoses of unsuspected foreign bodies and their complications.

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