Two cases of gastric penetration by fish bones with differing courses

ABSTRACT Most foreign bodies swallowed accidentally are naturally excreted. Gastric penetration by a fish bone is rare due to anatomical and physiological features such as the thick stomach wall, wide lumen and gastric acid. The most common penetration site is the antral region. The clinical course of fish bone penetration of the gastric antrum may differ depending on the direction of penetration. In this report, two cases of gastric perforation by fish bones that followed different courses are presented. One case was treated conservatively with antibiotics alone, and another case was considered for surgery, due to increased hematoma and penetration of the fish bone into the pancreas. However, the patient’s comorbidities were so severe that surgery was not possible, resulting in meticulous follow-up. Diagnostic imaging was important in these cases.

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Migratory Fish Bone in the Thyroid Gland: Case Report and Literature Review

Case Reports in Medicine ◽

10.1155/2018/7345723 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 8

Author(s):

EnHao Wu ◽

Lei Huang ◽

Ya Zhou ◽

Xun Zhu

Keyword(s):

Foreign Body ◽

Thyroid Gland ◽

Foreign Bodies ◽

Relevant Literature ◽

Fish Bone ◽

Migratory Fish ◽

Emergency Case ◽

Presenting Symptoms ◽

Fish Bones ◽

The Common

Introduction. Foreign body stuck in the throat is a common emergency case, which can be removed by the endoscopic treatment. Fish bones are one of the common observed foreign bodies in the pharynx or cervical esophagus. Fish bones have a risk of damaging the mucosa when lodged in the upper digestive tract. Foreign bodies of fish bones located outside the laryngopharyngeal tissue are relatively unusual, and it is even more rare that they remain in the thyroid. It may cause local infection, abscess formation, large blood vessels rupture, and other serious life-threatening complications when the position of the fish bone migrates to the neck. We present a unique case of a 31-year-old woman in whom a fish bone was found in the thyroid. The fish bone had been removed successfully two months after the onset of symptoms. The relevant literature is reviewed and summarized.Case Presentation. A foreign body which is located in the neck area by swallowing is usually found in the emergency case. One of the commonest foreign bodies is the fish bone. The common presenting symptoms include foreign body (FB) sensation and or a sharp pain during swallowing. But we report a rare case in which a migratory fish bone stuck in the thyroid gland was found after 3 months. We retrieved previous literature and made a summary.Conclusions. Fish bones are not easy to be found as a foreign body. Surgeons should be aware that fish bones can become lodged in the thyroid gland. Combined with the history should be a wary fish bone to migrate to the case of the thyroid, to avoid misdiagnosis. To confirm the diagnosis, we can take ultrasound, computerized tomographic scanning (CT), and other tests.

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STOMACH FISH BONE PERFORATION.CLINICAL CASE

Modern medical technologies ◽

10.34287/mmt.3(46).2020.11 ◽

2020 ◽

Vol 46 (3) ◽

pp. 64

Author(s):

N.V. Rudik ◽

A. S. Sementsov ◽

D. B. Fedchuk

Keyword(s):

Computed Tomography ◽

Foreign Body ◽

Foreign Bodies ◽

Clinical Observation ◽

Fish Bone ◽

Specific Location ◽

Fish Bones ◽

Life Threatening ◽

Wall Perforation ◽

Tomography Data

Abstract Stomach foreign bodies take second place after foreign bodies of the esophagus and can be both harmless as well as life-threatening. The shape, size, and time of the swallowed foreign body to get deposited in the specific location determine the type of treatment. The article presents a clinical observation – the stomach wall perforation of fish bones, principles of examination of the patient, computed tomography data and surgical treatment. Keywords: stomach, foreign body, perforation, computed tomography, treatment.

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Migrated pharyngeal fish bone causing spondylodiscitis. Case report

Coluna/Columna ◽

10.1590/s1808-185120141301rcc69 ◽

2014 ◽

Vol 13 (1) ◽

pp. 67-68 ◽

Cited By ~ 1

Author(s):

Aluizio Augusto Arantes Júnior ◽

Jose Augusto Malheiros ◽

Marco Tulio Domingos Silva e Reis ◽

Gustavo Meyer de Moraes

Keyword(s):

Case Report ◽

Cervical Spine ◽

Foreign Body ◽

Foreign Bodies ◽

Fish Bone ◽

Emergency Rooms ◽

Infectious Process ◽

Fish Bones ◽

First Case ◽

Longus Colli

Ingestion of foreign bodies is a common problem seen at emergency rooms and frequently involves chicken and fish bones. There are few cases of migrated foreign bodies through the retropharynx causing infectious process in the area but no one, despite the proximity, causing spondylodiscitis. Perhaps such condition is attributed to the integrity of the longus colli fascia covering and protecting the cervical spine. We described the first case of spondylodiscitis due to a foreign body (saw-toothed fish bone) that penetrated the longus colli fascia and carved into vertebral body C3.

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A Rare Case of a Foreign Body Migration from the Upper Digestive Tract to the Subcutaneous Neck

Ear Nose & Throat Journal ◽

10.1177/014556130208101014 ◽

2002 ◽

Vol 81 (10) ◽

pp. 730-732 ◽

Cited By ~ 12

Author(s):

Kenny Peter Pang ◽

Yoke Teen Pang

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Rare Case ◽

Foreign Bodies ◽

Soft Tissues ◽

Fish Bone ◽

Fish Bones ◽

Upper Digestive Tract ◽

Foreign Body Migration ◽

Base Of The Tongue

Ingested foreign bodies are not unusual in Singapore. The most common of these objects are fish bones, which typically become lodged in the tonsils or in the base of the tongue. We report a rare case of an ingested fish bone that migrated from the upper digestive tract and into the soft tissues of the neck just below the skin.

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Characteristics of fish-bone foreign bodies in the upper aero-digestive tract: The importance of identifying the species of fish

PLoS ONE ◽

10.1371/journal.pone.0255947 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0255947

Author(s):

Tadahisa Shishido ◽

Jun Suzuki ◽

Ryoukichi Ikeda ◽

Yuta Kobayashi ◽

Yukio Katori

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Fish Species ◽

Foreign Bodies ◽

Age Distribution ◽

Fish Bone ◽

University Hospital ◽

Surgical Removal ◽

Endoscopic Removal ◽

Fish Bones

Background Fish bones are common foreign bodies in the upper aero-digestive tract, but their clinical features in relation to fish species have not been confirmed. We aimed to clarify the clinical characteristics of fish-bone foreign bodies and their location and removal methods depending on the fish species. Study design Retrospective, observational, monocentric study. Methods From October 2015 to May 2020, 368 patients visited the Department of Otolaryngology-Head and Neck Surgery at Tohoku University Hospital complaining of dysphagia, sore throat, or pharyngeal discomfort after eating fish. We analyzed the patients’ sex and age distribution, foreign-body location, type of the fish, and the techniques used for removing the foreign body. Results Fish bones were confirmed in the upper aero-digestive tract in 270 cases (73.4%), of which 236 (87.4%) involved fish-bone foreign bodies in the mesopharynx. The most frequently involved site was the palatine tonsil (n = 170). Eel was the most frequently observed fish species (n = 39), followed by mackerel (n = 33), salmon (n = 33), horse mackerel (n = 30), and flounder (n = 30). Among the 240 cases in which the bones did not spontaneously dislocate, 109 (45.4%) were treated by endoscopic removal (103 cases) or surgery (6 cases). In pediatric cases (<12 years old), almost all fish bones were found in the mesopharynx (138/139, 99.3%), and 31 cases (22.3%) required endoscopic removal. Flounder fish bones were often lodged in the hypopharynx and esophagus (9/30, 30%), hindering spontaneous dislocation and frequently necessitating endoscopic or surgical removal (19/29, 65.5%). Conclusion The characteristics of fish-bone foreign bodies differed depending on the fish species. Flounder bones were often stuck in the hypopharynx and esophagus and were likely to require more invasive removal methods. Confirming the species of the fish could facilitate appropriate diagnosis and treatment of fish-bone foreign bodies.

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The usefulness of computed tomography in the diagnosis of impacted fish bones in the oesophagus

The Journal of Laryngology & Otology ◽

10.1017/s0022215100140460 ◽

1998 ◽

Vol 112 (4) ◽

pp. 360-364 ◽

Cited By ~ 46

Author(s):

Ken-ichi Watanabe ◽

Toshihiko Kikuchi ◽

Yukio Katori ◽

Hiroko Fujiwara ◽

Reiji Sugita ◽

...

Keyword(s):

Computed Tomography ◽

Simulation Model ◽

Foreign Bodies ◽

Fish Bone ◽

X Ray ◽

Fish Bones ◽

Inflammatory Changes

AbstractThe usefulness of computed tomography (CT) in the diagnosis of fish bone impaction in the oesophagus was evaluated. Thirty-two patients were examined by plain X-ray followed by direct oesophagoscopy for suspected fish bone impaction. Among 25 cases in which fish bones were actually removed, foreign bodies were not clearly demonstrated by plain X-ray in 14 cases (56 per cent). Eleven cases underwent CT prior to the oesophagoscopic examination. Fish bones were clearly demonstrated by CT in all patients. CT also clearly visualized secondarily-induced inflammatory changes in the neighbouring structures. In order to confirm this result, we made a simulation model of oesophageal fish bone impaction, using fish bones of three different species surrounded by a water bag. In comparison with plain X-ray, CT depicted a superior image of fine fish bones and provides extremely useful information for the management of impacted fish bones in the oesophagus.

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Computed Tomography Findings of Emergency Cases Resulting From Fish Bone Ingestion

Canadian Association of Radiologists Journal ◽

10.1177/0846537119899198 ◽

2020 ◽

pp. 084653711989919 ◽

Cited By ~ 1

Author(s):

Shintaro Ichikawa ◽

Hiroshi Onishi ◽

Utaroh Motosugi

Keyword(s):

Computed Tomography ◽

Emergency Department ◽

Foreign Bodies ◽

Fish Bone ◽

The Body ◽

Fish Bones ◽

Ct Findings

Fish bones are some of the most commonly ingested foreign bodies. In most cases, fish bone ingestion is asymptomatic, and the bones are expelled from the body spontaneously. Otherwise, patients with fish bone ingestion can present to the emergency department with nonspecific symptoms. Fish bones can become impacted in various part of the body. Even in cases that are initially asymptomatic after ingestion, serious complications may develop at a later stage. Computed tomography (CT) plays an important role in the diagnosis of fish bone ingestion because it is the most sensitive modality for detecting these foreign bodies. It is important to be familiar with CT findings to detect ingested fish bones and the related complications and to direct further management of the condition.

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Migration of fish bones into abdominal para‐aortic tissue from the duodenum after leading to duodenal perforation: a case report

BMC Gastroenterology ◽

10.1186/s12876-021-01662-3 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Rong Wang ◽

Jinyan He ◽

Zhengquan Chen ◽

Kunming Wen

Keyword(s):

Foreign Bodies ◽

Treatment Plan ◽

Fish Bone ◽

Postoperative Recovery ◽

Normal Diet ◽

Duodenal Perforation ◽

Aortic Tissue ◽

Case Presentation ◽

Physical Strength ◽

Fish Bones

Abstract Background Migration of fish bones into abdominal para-aortic tissue after penetrating the junction of 3rd and 4th part of duodenum is incredibly rare. Case presentation A 68-year-old man was admitted to our hospital with persistent colic in the lower abdomen after eating fish two weeks ago. Abdominal computed tomography (CT) scan showed High density streaks along the anterior and lower edges of the 3rd part of duodenum with peripheral exudation and localized peritonitis. Esophagogastroduodenoscopy didn’t find foreign bodies and perforations in the digestive tract. Laparoscopic surgery and intraoperative endoscopy were made to detect foreign bodies and perforation site was found. After transition to open surgery, the fish bone was found in abdominal para-aortic tissue and removed without complications. Postoperative recovery is smooth, and the patient resumed normal diet and was discharged. Conclusions It is difficult to choose a treatment plan for foreign bodies at the 3rd part of the duodenum, because it is difficult to judge the damage caused by the foreign body to the intestine and the positional relationship with the surrounding important organs. Conservative treatment or surgical treatment both have huge risks. The handling of this situation will extremely test the psychology, physical strength and professional experience of the surgeon.

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Fish bone as a foreign body

The Journal of Laryngology & Otology ◽

10.1258/002221503322113058 ◽

2003 ◽

Vol 117 (7) ◽

pp. 568-569 ◽

Cited By ~ 6

Author(s):

Manoj Kumar ◽

George Joseph ◽

Seena Kumar ◽

Malcolm Clayton

Keyword(s):

Foreign Body ◽

Digestive Tract ◽

Foreign Bodies ◽

Diagnostic Value ◽

Fish Bone ◽

Plain Radiography ◽

X Rays ◽

X Ray ◽

Fish Bones ◽

The Uk

Fish bones are one of the most common foreign bodies in the upper aero-digestive tract. The use of plain X-ray in identifying fish bones has questionable value. We believe that the knowledge of the type of the fish ingested improves the diagnostic value of the neck X-rays. This study was designed to evaluate the relative radio-densities of the bones of commonly eaten fish in the UK. Twenty-three species of fish were studied and their bones were grouped into three depending upon their ratio-densities. This information is expected to be useful in identifying fish bones while reading plain radiography.

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An Unusual Etiology of Submandibular Sialadenitis, Migration of an Ingested Fish Bone to the Submandibular Gland: A Case Report

Faridpur Medical College Journal ◽

10.3329/fmcj.v16i1.55740 ◽

2021 ◽

Vol 16 (1) ◽

pp. 55-57

Author(s):

Nripendra Nath Biswas ◽

Debabrota Roy ◽

Md Shafiq Ur Rahman ◽

Md Towrit Reza ◽

Md Sahbub Alam ◽

...

Keyword(s):

Submandibular Gland ◽

Foreign Bodies ◽

Soft Tissues ◽

Motor Vehicle ◽

Fish Bone ◽

Motor Vehicle Accidents ◽

Vehicle Accidents ◽

Fish Bones ◽

Common Causes ◽

Routine Inspection

Recurrent sialadenitis of submandibular gland can have multiple causes, one of the rare being foreign bodies. Motor vehicle accidents, assaults, bullet wounds and iatrogenic surgical fault are the most common causes of traumatic foreign bodies. Fish bone is one of the most common foreign bodies that gets lodged in the upper digestive tract, often located in the tonsil, base of tongue, epiglottis, pyriform fossa and esophagus, where it may be easily identified on routine inspection and removed. The forcible swallowing of food such as rice balls after ingesting fish bones by mistake may lead to the migration of the fish bone from the pharynx, throat or esophagus to the surrounding tissues. Migration most commonly occurs to the soft tissues of the neck, even to the thyroid gland, but migration to the submandibular gland has rarely been reported. Here, we present a case of submandibular sialadenitis due to unusual migration of ingested fish bone to submandibular gland. Foreign body ingestion may cause a series of complications and endanger a patient's life. Cases require high awareness and attentiveness on the part of the first physician to diagnose and manage the condition and appropriate health education should be imparted to the patient. Faridpur Med. Coll. J. 2021;16(1):55-57

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