Ingested Fish Bone : An Unusual Mechanism of Duodenal Perforation and Pancreatic Trauma
Joint Authors
Symeonidis, Dimitrios
Mamaloudis, Ioannis
Rizos, Apostolos
Tepetes, Konstantinos
Koukoulis, Georgios
Baloyiannis, Ioannis
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-08-05
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Ingestion of gastrointestinal foreign bodies represents a challenging clinical scenario.
Increased morbidity is the price for the delayed diagnosis of complications and timely treatment.
We present a case of 57-year-old female patient which was admitted in the emergency room department complaining of a mid-epigastric pain over the last twenty-four hours.
Based on the patient's history, physical examination and elevated serum amylase levels, a false diagnosis of pancreatitis, was initially adopted.
However, a CT scan confirmed the presence of a radiopaque foreign body in the pancreatic head and the presence of air bubbles outside the intestinal lumen.
The patient was unaware of the ingestion of the foreign body.
At laparotomy, after an oblique duodenotomy, a fish bone pinned in the pancreatic head after the penetration of the medial aspect of the second portion of the duodenal wall was identified and successfully removed.
The patient had an uneventful postoperative recovery.
Wide variation in clinical presentation characterizes the complicated fish bone ingestions.
The strategically located site of penetration in the visceral wall is responsible for the often extraordinary gastrointestinal tract injury patterns.
Increased level of suspicion is of paramount importance for the timely diagnosis and treatment.
American Psychological Association (APA)
Symeonidis, Dimitrios& Koukoulis, Georgios& Baloyiannis, Ioannis& Rizos, Apostolos& Mamaloudis, Ioannis& Tepetes, Konstantinos. 2012. Ingested Fish Bone : An Unusual Mechanism of Duodenal Perforation and Pancreatic Trauma. Case Reports in Gastrointestinal Medicine،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-462275
Modern Language Association (MLA)
Symeonidis, Dimitrios…[et al.]. Ingested Fish Bone : An Unusual Mechanism of Duodenal Perforation and Pancreatic Trauma. Case Reports in Gastrointestinal Medicine No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-462275
American Medical Association (AMA)
Symeonidis, Dimitrios& Koukoulis, Georgios& Baloyiannis, Ioannis& Rizos, Apostolos& Mamaloudis, Ioannis& Tepetes, Konstantinos. Ingested Fish Bone : An Unusual Mechanism of Duodenal Perforation and Pancreatic Trauma. Case Reports in Gastrointestinal Medicine. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-462275
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-462275