Skip to main content

Advertisement

Log in

Fish bone penetration of the duodenum extending into the pancreas: Report of a case

  • Case Report
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

We report a case of fish bone penetration of the duodenum extending into the pancreatic head, which was successfully treated by surgery. A 73-year-old woman was admitted with upper abdominal dull pain that had persisted for 3 days. Computed tomography showed a linear calcified body, which appeared to penetrate the posterior wall of the duodenal bulb into the pancreatic head. A laparotomy was performed based on the preoperative diagnosis of localized peritonitis caused by penetration of the duodenum into the pancreas by an ingested foreign body. The foreign body was safely removed from both the pancreas and duodenum and was found to be a fish bone, measuring 4 cm in length. Neither an abscess nor hematoma was detected at the site of the pancreatic head. The postoperative course was uneventful. This case demonstrates an unusual presentation of fish bone penetration of the duodenum with a migration to the pancreas.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Clarencon F, Scatton O, Bruguiere E, Silvera S, Afanou G, Soubrane O, et al. Recurrent liver abscess secondary to ingested fish bone migration: report of a case. Surg Today 2008;38:572–575.

    Article  PubMed  Google Scholar 

  2. Okuma T, Nagamoto N, Tanaka E, Yoshida Y, Inoue K, Baba H. Repeated colon penetration by an ingested fish bone: report of a case. Surg Today 2008;38:363–365.

    Article  PubMed  Google Scholar 

  3. McCanse DE, Kurchin A, Hinshaw JR. Gastrointestinal foreign bodies. Am J Surg 1981;142:335–337.

    Article  CAS  PubMed  Google Scholar 

  4. Maleki M, Evans WE. Foreign-body perforation of the intestinal tract: report of 12 cases and review of the literature. Arch Surg 1970;101:474–477.

    Google Scholar 

  5. Goh BK, Chow PK, Quah HM, Ong HS, Eu KW, Ooi LL, et al. Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg 2006;30:372–377.

    Article  PubMed  Google Scholar 

  6. Goh BK, Yong WS, Yeo AW. Pancreatic and hepatic abscess secondary to fish bone perforation of the duodenum. Dig Dis Sci 2005;50:1103–1106.

    Article  PubMed  Google Scholar 

  7. Goh BK, Jeyaraj PR, Chan HS, Ong HS, Agasthian T, Chang KT, et al. A case of fish bone perforation of the stomach mimicking a locally advanced pancreatic carcinoma. Dig Dis Sci 2004;49:1935–1937.

    Article  PubMed  Google Scholar 

  8. Kumar M, Joseph G, Kumar S, Clayton M. Fish bone as a foreign body. J Laryngol Otol 1998;112:360–364.

    Google Scholar 

  9. Ell SR, Sprigg A. The radio-opacity of fishbone-species variation. Clin Radiol 1991;44:104–107.

    Article  CAS  PubMed  Google Scholar 

  10. Masunaga S, Abe M, Imura T, Asano M, Minami S, Fujisawa I. Hepatic abscess secondary to a fishbone penetrating the gastric wall: CT demonstration. Comput Med Imaging Graph 1991;15:113–116.

    Article  CAS  PubMed  Google Scholar 

  11. Gonzalez JG, Gonzalez RR, Patino JV. CT finding in gastrointestinal perforation by ingested fish bones. J Comput Assist Tomogr 1988;12:88–90.

    Article  CAS  PubMed  Google Scholar 

  12. Yokoyama T, Nagao M, Ko S, Nakajima Y. A case of perforation of duodenum caused by a fish bone — the review of the Japanese literature. Jpn J Gastroenterol Surg 2007;40:587–592.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yasuda, T., Kawamura, S., Shimada, E. et al. Fish bone penetration of the duodenum extending into the pancreas: Report of a case. Surg Today 40, 676–678 (2010). https://doi.org/10.1007/s00595-009-4110-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-009-4110-x

Key words

Navigation