首页|Medical treatment for a fish bone-induced ileal micro-perforation: A case report

Medical treatment for a fish bone-induced ileal micro-perforation: A case report

扫码查看
原文链接
  • NETL
  • NSTL
  • 万方数据
  • 维普
Ingested fish bone induced intestinal perforations are seldom diagnosed preoperatively due to incomplete patient history taking and difficulties in image evidence identification.Most literature suggests early surgical intervention to prevent sepsis and complications resulting from fish bone migrations.We report the case of a 44-year-old man suffered from acute abdomen induced by a fish bone micro-perforation.The diagnosis was supported by computed tomography (CT) imaging of fish bone lodged in distal ileum and a history of fish ingestion recalled by the patient.Medical treatment was elected to manage the patient's condition instead of surgical intervention.The treatment resulted in a complete resolution of abdominal pain on hospital day number 4 without complication.Factors affecting clinical treatment decisions include the nature of microperforation,the patient's good overall health condition,and the early diagnosis before sepsis signs develop.Micro-perforation means the puncture of intestine wall without CT evidence of free air,purulent peritoneum or abscess.We subsequently reviewed the literature to support our decision to pursue medical instead of surgical intervention.

Fish bone ingestionMicro-perforationDecision-makingMedical treatmentSmall intestine

Chein-Chung Kuo、Tsu-Kang Jen、Cheng-Hsin Wen、Chih-Ping Liu、Hai-Sung Hsiao、Yao-Chi Liu、Kuan-Ho Chen

展开 >

Department of Emergency Medicine, Kang-Ning General Hospital,Taipei City 114, Taiwan, China

Department of Family Medicine, Kang-Ning General Hospital, Taipei City 114, Taiwan, China

Department of Radiology, Kang-Ning General Hospital, Taipei City 114, Taiwan, China

Department of General Surgery, Kang-Ning General Hospital, Taipei City 114, Taiwan, China

展开 >

2012

10.3748/wjg.v18.i41.5994

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子：1.001
ISSN：1007-9327
年,卷(期)：2012.18(41)
  • 46