Fish bone perforation

Case contributed by Abhishek Adhikari
Diagnosis certain

Presentation

Right iliac fossa pain.

Patient Data

Age: 60 years
Gender: Male
ct

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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