Case report demonstrates fish bone-induced ileal perforation and fistula formation in a young male, highlighting the critical role of computed tomography and surgical exploration.
Key Points
To describe a rare case of chronic abdominal pain caused by an ingested fish bone resulting in ileal perforation and fistula formation.
Evaluated a 26-year-old male presenting with chronic lower abdominal pain for three months using laboratory tests, abdominal CT, and surgical intervention.
Conducted diagnostic laparoscopy followed by exploratory laparotomy, resection of the affected bowel segment, and side-to-side anastomosis.
Abdominal CT revealed a high-density foreign body, and surgical exploration confirmed an ingested fish bone causing multiple terminal ileum perforations and an ileo-ileal fistula.
Surgical resection of the perforated intestinal segment and subsequent anastomosis resulted in full recovery and uneventful discharge.