Open AccessSmall bowel perforation caused by ingested fish bone: Diagnosis and management by laparoscopy
Author(s) -
Chien-Chang Kao,
Hong-Ming Chao,
Sheng-Chuan His,
Yee-Fung Lin
Publication year - 2013
Publication title -
formosan journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 8
eISSN - 2213-5413
pISSN - 1682-606X
DOI - 10.1016/j.fjs.2013.04.006
Subject(s) - medicine , perforation , fish bone , surgery , acute abdomen , foreign body , laparoscopy , abdomen , etiology , bowel perforation , general surgery , fish <actinopterygii> , complication , materials science , fishery , biology , punching , metallurgy
SummaryBowel perforation caused by a foreign body is an uncommon etiology of acute abdomen. An accurate diagnosis of the level and cause of the perforation is essential for therapeutic planning, but it is usually challenging. This report presents the case of a 66-year-old man who underwent a diagnostic laparoscopy for suspicion of hollow viscus perforation. We used the underwater intestinal milking method to detect the perforation caused by fish bone, which was intracorporeally repaired using interrupted sutures. Because of the lack of tactile sensation, a laparoscopic diagnosis of acute abdomen is completely dependent on visual assessment. Therefore, making the correct decision requires expertise and sufficient skill in laparoscopic surgery. The experience reported herein is feasible for the diagnosis and management of small bowel perforation caused by a foreign body