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

作者：Drakonaki Eleni^*; Chatzioannou Maria; Spiridakis Konstantinos; Panagiotakis George

来源：Diagnostic and Interventional Radiology, 2011, 17(2): 160-162.

DOI：10.4261/1305-3825.DIR.3236-09.1

• foreign bodies
• ultrasonography
• acute abdomen

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 bodies should always be suspected in cases of acute abdomen, and ultrasonography remains a first-line examination tool for preoperative diagnoses of unsuspected foreign bodies and their complications.

• 出版日期2011-6