Skewered! A fishy situation, when time is of the essence!

Abstract Text A 57-year-old man presented with severe epigastric pain 60 hours after accidentally ingesting a large fish bone. Examination revealed abdominal tenderness and peritonism in the right upper quadrant. CT imaging identified a 3.5 cm linear high-density foreign body perforating the gastric antrum and extending into the liver. Emergent upper GI endoscopy identified the fish bone penetrating the gastric wall. It was successfully extracted using grasping forceps and a Capuchón Hood, with five clips placed to seal the perforation. The patient recovered without surgical intervention and was discharged 72 hours later. The culprit was an Atlantic croaker, a fish known for sharp bones prone to causing perforations. In our case timely endoscopy prevented complications, including major abdominal surgery, highlighting the importance of prompt intervention in such cases [1] [2].

Video http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/9f08b91f-faaa-42e3-8431-5ee143ac1600/Uploads/16849_Fish_bone%20esge%20final.mp4

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Artikel online veröffentlicht:
27. März 2025

• References

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• 2 Birk M, Bauerfeind P, Deprez PH, Häfner M, Hartmann D, Hassan C, Hucl T, Lesur G, Aabakken L, Meining A.. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2016; 48 (5): 489-96 Epub 2016 Feb 10. PMID: 26862844