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Abdominal foreign body - fish bone

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

Epigastric pain.

Patient Data

Age: 70 years
Gender: Female

The CT images demonstrate a linear hyperdense structure in the posterior wall of the antral region, extending to the retrogastric space surrounded by an enhancing inflammatory tissue with fat stranding.

Case Discussion

The clinical history is suggestive of an ingested fish bone causing transmural perforation of the posterior antral wall with surrounding inflammatory granuloma. The upper GI endoscopy confirms the gastric perforation.

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