- 期刊
- OpenAccess
Migration of a Fish bone to the Mesentery with Perforation of the Jejunum and Transverse Colon
摘要
Gastrointestinal perforation caused by an ingested foreign body is rare, occurring in less than 1% of cases. A fish bone perforation of a small bowel loop and colon with migration back into the mesentery has not previously been reported. We present the case of a 42-year-old female patient with severe abdominal pain for 3 days. Multidetectorrow computed tomography (MDCT) of the abdomen revealed a hyperdense and linear foreign body at the mesentery between the wall-thickened jejunum and transverse colon. Exploratory laparotomy disclosed a fish bone in the inflamed mesentery, with perforations in the jejunum and transverse colon. Adhesiolysis, removal of the fish bone, segmental resection of the jejunum and transverse colon, and primary anastomosis were performed. The patient had an uneventful hospitalization and was discharged on the 7th postoperative day.