Development of an abdominal wall abscess caused by fish bone ingestion: a case report
Abstract Background A small percentage of patients with foreign body ingestion develop complications, which have a variety of clinical presentations. Less than 1% of cases require surgical intervention. We present a patient with an abdominal wall abscess resulting from a fish bone that pierced the c...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2019-12-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-019-2301-7 |
| _version_ | 1818391525176901632 |
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| author | Kiyomitsu Kuwahara Yasuji Mokuno Hideo Matsubara Hirokazu Kaneko Mikihiro Shamoto Shinsuke Iyomasa |
| author_facet | Kiyomitsu Kuwahara Yasuji Mokuno Hideo Matsubara Hirokazu Kaneko Mikihiro Shamoto Shinsuke Iyomasa |
| author_sort | Kiyomitsu Kuwahara |
| collection | DOAJ |
| description | Abstract Background A small percentage of patients with foreign body ingestion develop complications, which have a variety of clinical presentations. Less than 1% of cases require surgical intervention. We present a patient with an abdominal wall abscess resulting from a fish bone that pierced the cecum. The patient was treated laparoscopically. Case presentation A 55-year-old Japanese man presented to our hospital with a complaint of right lower abdominal pain. A physical examination revealed tenderness, swelling, and redness at the right iliac fossa. Computed tomography showed a low-density area with rim enhancement in his right internal oblique muscle and a hyperdense 20 mm-long pointed object in the wall of the adjacent cecum. Based on the findings we suspected an abdominal wall abscess resulting from a migrating ingested fish bone. He was administered antibiotics as conservative treatment, and the abscess was not seen on subsequent computed tomography. Two months after the initial treatment, he presented with the same symptoms, and a computed tomography scan showed the foreign body in the same location as before with the same low-density area. We diagnosed the low-density area as recurrence of the abdominal wall abscess. He underwent laparoscopic surgery to remove the foreign body. His appendix, and part of his cecum and the parietal peritoneum that included the foreign body, were resected. He had an uneventful postoperative course, and at 1 year after the surgery, the abdominal wall abscess had not recurred. Conclusions An abdominal wall abscess developed in association with the migration of an ingested fish bone. We suggest that a laparoscopic surgical resection of the portion of the bowel that includes the foreign body is a useful option for selected cases. |
| first_indexed | 2024-12-14T05:14:54Z |
| format | Article |
| id | doaj.art-00b087af211f4283a240ee8ab7381a20 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-14T05:14:54Z |
| publishDate | 2019-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-00b087af211f4283a240ee8ab7381a202022-12-21T23:15:51ZengBMCJournal of Medical Case Reports1752-19472019-12-011311510.1186/s13256-019-2301-7Development of an abdominal wall abscess caused by fish bone ingestion: a case reportKiyomitsu Kuwahara0Yasuji Mokuno1Hideo Matsubara2Hirokazu Kaneko3Mikihiro Shamoto4Shinsuke Iyomasa5Department of Surgery, Yachiyo HospitalDepartment of Surgery, Yachiyo HospitalDepartment of Surgery, Yachiyo HospitalDepartment of Surgery, Yachiyo HospitalDepartment of Pathology, Yachiyo HospitalDepartment of Surgery, Yachiyo HospitalAbstract Background A small percentage of patients with foreign body ingestion develop complications, which have a variety of clinical presentations. Less than 1% of cases require surgical intervention. We present a patient with an abdominal wall abscess resulting from a fish bone that pierced the cecum. The patient was treated laparoscopically. Case presentation A 55-year-old Japanese man presented to our hospital with a complaint of right lower abdominal pain. A physical examination revealed tenderness, swelling, and redness at the right iliac fossa. Computed tomography showed a low-density area with rim enhancement in his right internal oblique muscle and a hyperdense 20 mm-long pointed object in the wall of the adjacent cecum. Based on the findings we suspected an abdominal wall abscess resulting from a migrating ingested fish bone. He was administered antibiotics as conservative treatment, and the abscess was not seen on subsequent computed tomography. Two months after the initial treatment, he presented with the same symptoms, and a computed tomography scan showed the foreign body in the same location as before with the same low-density area. We diagnosed the low-density area as recurrence of the abdominal wall abscess. He underwent laparoscopic surgery to remove the foreign body. His appendix, and part of his cecum and the parietal peritoneum that included the foreign body, were resected. He had an uneventful postoperative course, and at 1 year after the surgery, the abdominal wall abscess had not recurred. Conclusions An abdominal wall abscess developed in association with the migration of an ingested fish bone. We suggest that a laparoscopic surgical resection of the portion of the bowel that includes the foreign body is a useful option for selected cases.https://doi.org/10.1186/s13256-019-2301-7Fish boneAbdominal wall abscessForeign body ingestionLaparoscopic surgery |
| spellingShingle | Kiyomitsu Kuwahara Yasuji Mokuno Hideo Matsubara Hirokazu Kaneko Mikihiro Shamoto Shinsuke Iyomasa Development of an abdominal wall abscess caused by fish bone ingestion: a case report Journal of Medical Case Reports Fish bone Abdominal wall abscess Foreign body ingestion Laparoscopic surgery |
| title | Development of an abdominal wall abscess caused by fish bone ingestion: a case report |
| title_full | Development of an abdominal wall abscess caused by fish bone ingestion: a case report |
| title_fullStr | Development of an abdominal wall abscess caused by fish bone ingestion: a case report |
| title_full_unstemmed | Development of an abdominal wall abscess caused by fish bone ingestion: a case report |
| title_short | Development of an abdominal wall abscess caused by fish bone ingestion: a case report |
| title_sort | development of an abdominal wall abscess caused by fish bone ingestion a case report |
| topic | Fish bone Abdominal wall abscess Foreign body ingestion Laparoscopic surgery |
| url | https://doi.org/10.1186/s13256-019-2301-7 |
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