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

@article{Drakonaki2011AcuteAC,
  title={Acute abdomen caused by a small bowel perforation due to a clinically unsuspected fish bone.},
  author={Eleni E. Drakonaki and Maria Chatzioannou and Konstantinos Spiridakis and George E. Panagiotakis},
  journal={Diagnostic and interventional radiology},
  year={2011},
  volume={17 2},
  pages={160-2}
}
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… CONTINUE READING