Fish bone perforation

Case contributed by Abhishek Adhikari
Diagnosis certain

Presentation

Right iliac fossa pain.

Patient Data

Age: 60 years
Gender: Male
ct
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
This study is a stack
Axial
non-contrast
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Info

Linear, extraluminal, intraperitoneal hyperdense foreign body in the anterior aspect lower part of the right lumbar region and right iliac fossa. Inflammatory mass around this foreign body with break-down areas involving adjacent right rectus abdominis muscle.

Case Discussion

Findings are suggestive of a localized fish bone perforation of the ileum. Operative repair revealed a fishbone perforating the patient's ileum.

Case contributed by Dr. Abhishek Adhikari and Dr. Babin Basnet.

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