Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario

The incidental ingestion of fish bone is common, and the ingested fish bone mostly exits the gastrointestinal tract spontaneously. However, severe complications such as perforation in the digestive tract and abscess formation after a period of time may occasionally occur. Fewer than 10 cases of a mi...

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Main Authors: Yu-Jie Wu, Ying-Ying Chen, Yi-Chien Hsieh
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/12/12/2999
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author Yu-Jie Wu
Ying-Ying Chen
Yi-Chien Hsieh
author_facet Yu-Jie Wu
Ying-Ying Chen
Yi-Chien Hsieh
author_sort Yu-Jie Wu
collection DOAJ
description The incidental ingestion of fish bone is common, and the ingested fish bone mostly exits the gastrointestinal tract spontaneously. However, severe complications such as perforation in the digestive tract and abscess formation after a period of time may occasionally occur. Fewer than 10 cases of a migrated fish bone penetrating into the pancreas have been reported in the literature, and the development of a subsequent pancreatic abscess is extremely rare. We present one such rare case of pancreatic abscess formation in a middle-aged woman due to fish bone penetration through the gastric wall into the pancreas 2 months after ingestion and missed on endoscopy initially. Further imaging revealed that the fish bone was partially embedded in the pancreatic head surrounded with abscesses and was smoothly removed through laparoscopy.
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spelling doaj.art-636ee49b28b04127babd40ca2b37f4942023-11-24T14:16:55ZengMDPI AGDiagnostics2075-44182022-11-011212299910.3390/diagnostics12122999Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical ScenarioYu-Jie Wu0Ying-Ying Chen1Yi-Chien Hsieh2Department of Radiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, TaiwanDepartment of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 116079, TaiwanDepartment of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 116079, TaiwanThe incidental ingestion of fish bone is common, and the ingested fish bone mostly exits the gastrointestinal tract spontaneously. However, severe complications such as perforation in the digestive tract and abscess formation after a period of time may occasionally occur. Fewer than 10 cases of a migrated fish bone penetrating into the pancreas have been reported in the literature, and the development of a subsequent pancreatic abscess is extremely rare. We present one such rare case of pancreatic abscess formation in a middle-aged woman due to fish bone penetration through the gastric wall into the pancreas 2 months after ingestion and missed on endoscopy initially. Further imaging revealed that the fish bone was partially embedded in the pancreatic head surrounded with abscesses and was smoothly removed through laparoscopy.https://www.mdpi.com/2075-4418/12/12/2999fish boneforeign bodypancreaslaparoscopic surgery
spellingShingle Yu-Jie Wu
Ying-Ying Chen
Yi-Chien Hsieh
Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario
Diagnostics
fish bone
foreign body
pancreas
laparoscopic surgery
title Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario
title_full Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario
title_fullStr Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario
title_full_unstemmed Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario
title_short Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario
title_sort unusual pancreatic abscess secondary to embedded fish bone a challenging clinical scenario
topic fish bone
foreign body
pancreas
laparoscopic surgery
url https://www.mdpi.com/2075-4418/12/12/2999
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AT yingyingchen unusualpancreaticabscesssecondarytoembeddedfishboneachallengingclinicalscenario
AT yichienhsieh unusualpancreaticabscesssecondarytoembeddedfishboneachallengingclinicalscenario