CTにて術前診断しえた魚骨による胃穿孔の1例

Abstract

We report a case of perforation of the stomach by a fish bone. A 63-years-old woman was admitted to our hospital complaining of severe abdominal pain. On physical examination, tenderness and rebound tenderness were noted in the upper abdomen. Abdominal X-ray showed free air, and abdominal CT showed a 3.0cm linear foreign body. The problem was diagnosed preoperatively as perforation of the stomach due to a fish bone and the patient underwent emergency surgery. We found a fish bone penetrating the wall of the stomach. The fish bone was removed, and the perforation was directly sutured. Perforation of the digestive tract, especially the stomach, by ingested fish bones is relatively rare. When we suspected digestive tract perforation, we took this possibility into consideration, and it seemed that it was important to take enough medical history hearing and carry out through image inspection.