Retro umbilical abscess mimicking infected urachal cyst: A rare presentation from migratory fish bone ingestion

Foreign body ingestion, especially food bolus like a fishbone, is prevalent in the adult population, usually ingested accidentally with only a small percentage developing a complication. Once complications arises, it will have a wide variety of clinical manifestations. We present a case of a patient...

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Main Authors: Muhamad Hud Muhamad Zin, Theevashini Krishnasamy, Nik Ritza Kosai
Format: Article
Language:English
English
Published: Gazi Universitesi 2021
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/33050/2/Retro%20umbilical%20abscess%20mimicking%20infected%20urachal%20cyst_%20A%20rare%20presentation%20from%20migratory%20fish%20bone%20ingestion.pdf
https://eprints.ums.edu.my/id/eprint/33050/1/Retro%20umbilical%20abscess%20mimicking%20infected%20urachal%20cyst_%20A%20rare%20presentation%20from%20migratory%20fish%20bone%20ingestion%20_ABSTRACT.pdf
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author Muhamad Hud Muhamad Zin
Theevashini Krishnasamy
Nik Ritza Kosai
author_facet Muhamad Hud Muhamad Zin
Theevashini Krishnasamy
Nik Ritza Kosai
author_sort Muhamad Hud Muhamad Zin
collection UMS
description Foreign body ingestion, especially food bolus like a fishbone, is prevalent in the adult population, usually ingested accidentally with only a small percentage developing a complication. Once complications arises, it will have a wide variety of clinical manifestations. We present a case of a patient with an abdominal wall abscess resulting from migrating ingested fishbone that was treated with antibiotic therapy, drainage of the abscess, and removal of the foreign body.A 58-year-old gentleman presented to our hospital with chronic abdominal pain complaint from the right iliac fossa migrating to the umbilical region. His physical examination revealed swelling, redness, and tenderness over the umbilical region. Computed tomography showed a hypodense rim enhancing collection noted at the umbilical region with extension into the anterior peritoneal cavity with a thin linear dense structure within the collection measuring 4cm in length, likely representing a foreign body. He received antibiotic therapy and subsequently underwent abscess drainage and removal of a foreign body. He had an uneventful postoperative course, and follow up showed no recurrent. An abdominal wall abscess can arise from a complication of migratory fishbone ingestion. Unexplained abdominal wall abscess in an otherwise healthy individual should also raise suspicions of foreign body causing bowel perforation, and treatment should be tailored to the patient's presentation.
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spelling ums.eprints-330502022-07-12T00:06:48Z https://eprints.ums.edu.my/id/eprint/33050/ Retro umbilical abscess mimicking infected urachal cyst: A rare presentation from migratory fish bone ingestion Muhamad Hud Muhamad Zin Theevashini Krishnasamy Nik Ritza Kosai RG1-991 Gynecology and obstetrics Foreign body ingestion, especially food bolus like a fishbone, is prevalent in the adult population, usually ingested accidentally with only a small percentage developing a complication. Once complications arises, it will have a wide variety of clinical manifestations. We present a case of a patient with an abdominal wall abscess resulting from migrating ingested fishbone that was treated with antibiotic therapy, drainage of the abscess, and removal of the foreign body.A 58-year-old gentleman presented to our hospital with chronic abdominal pain complaint from the right iliac fossa migrating to the umbilical region. His physical examination revealed swelling, redness, and tenderness over the umbilical region. Computed tomography showed a hypodense rim enhancing collection noted at the umbilical region with extension into the anterior peritoneal cavity with a thin linear dense structure within the collection measuring 4cm in length, likely representing a foreign body. He received antibiotic therapy and subsequently underwent abscess drainage and removal of a foreign body. He had an uneventful postoperative course, and follow up showed no recurrent. An abdominal wall abscess can arise from a complication of migratory fishbone ingestion. Unexplained abdominal wall abscess in an otherwise healthy individual should also raise suspicions of foreign body causing bowel perforation, and treatment should be tailored to the patient's presentation. Gazi Universitesi 2021 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/33050/2/Retro%20umbilical%20abscess%20mimicking%20infected%20urachal%20cyst_%20A%20rare%20presentation%20from%20migratory%20fish%20bone%20ingestion.pdf text en https://eprints.ums.edu.my/id/eprint/33050/1/Retro%20umbilical%20abscess%20mimicking%20infected%20urachal%20cyst_%20A%20rare%20presentation%20from%20migratory%20fish%20bone%20ingestion%20_ABSTRACT.pdf Muhamad Hud Muhamad Zin and Theevashini Krishnasamy and Nik Ritza Kosai (2021) Retro umbilical abscess mimicking infected urachal cyst: A rare presentation from migratory fish bone ingestion. Gazi Medical Journal, 32. pp. 466-468. ISSN 2147-2092 https://medicaljournal.gazi.edu.tr/index.php/GMJ/article/view/2878/2361 http://dx.doi.org/10.12996/gmj.2021.108 http://dx.doi.org/10.12996/gmj.2021.108
spellingShingle RG1-991 Gynecology and obstetrics
Muhamad Hud Muhamad Zin
Theevashini Krishnasamy
Nik Ritza Kosai
Retro umbilical abscess mimicking infected urachal cyst: A rare presentation from migratory fish bone ingestion
title Retro umbilical abscess mimicking infected urachal cyst: A rare presentation from migratory fish bone ingestion
title_full Retro umbilical abscess mimicking infected urachal cyst: A rare presentation from migratory fish bone ingestion
title_fullStr Retro umbilical abscess mimicking infected urachal cyst: A rare presentation from migratory fish bone ingestion
title_full_unstemmed Retro umbilical abscess mimicking infected urachal cyst: A rare presentation from migratory fish bone ingestion
title_short Retro umbilical abscess mimicking infected urachal cyst: A rare presentation from migratory fish bone ingestion
title_sort retro umbilical abscess mimicking infected urachal cyst a rare presentation from migratory fish bone ingestion
topic RG1-991 Gynecology and obstetrics
url https://eprints.ums.edu.my/id/eprint/33050/2/Retro%20umbilical%20abscess%20mimicking%20infected%20urachal%20cyst_%20A%20rare%20presentation%20from%20migratory%20fish%20bone%20ingestion.pdf
https://eprints.ums.edu.my/id/eprint/33050/1/Retro%20umbilical%20abscess%20mimicking%20infected%20urachal%20cyst_%20A%20rare%20presentation%20from%20migratory%20fish%20bone%20ingestion%20_ABSTRACT.pdf
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AT theevashinikrishnasamy retroumbilicalabscessmimickinginfectedurachalcystararepresentationfrommigratoryfishboneingestion
AT nikritzakosai retroumbilicalabscessmimickinginfectedurachalcystararepresentationfrommigratoryfishboneingestion