Fish-Bone Penetration of the Gastrointestinal Tract Extending into the Pancreas: Report of Two Cases

Most ingested foreign bodies pass through the gastrointestinal tract uneventfully within 1 week of ingestion, and so gastrointestinal tract perforation is rare, occurring in less than 1% of patients. The occurrence of a pancreas penetration secondary to foreign-body perforation is even rarer. Here we report two cases of foreign-body penetration of the gastrointestinal tract extending into the pancreas and retroperitoneum. The findings of these cases serve to remind all clinicians that the diagnosis of a foreign-body perforation should always be kept in mind in a patient with abdominal symptoms, and physicians should endeavor to determine the history of ingestion and be aware of foreign bodies in CT scans. (Korean J Med 2012;82:718-723)

[1]  E. Shimada,et al.  Fish bone penetration of the duodenum extending into the pancreas: Report of a case , 2010, Surgery Today.

[2]  J. Jeong.  Early Changes in Blood Urea Nitrogen Predict Mortality in Acute Pancreatitis. Gastroenterology 2009;137:129-135 , 2009 .

[3]  S. Jung,et al.  Risk Factors Predicting the Development of Complication after Foreign Body Ingestion , 2009 .

[4]  Mário Oliveira,et al.  Hepatic abscess induced by foreign body: case report and literature review. , 2007, World journal of gastroenterology.

[5]  J. Kao,et al.  Medical treatment of fish bone-related liver abscess. , 2005, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[6]  H. Ong,et al.  Case Report: A Case of Fish Bone Perforation of the Stomach Mimicking a Locally Advanced Pancreatic Carcinoma , 2004, Digestive Diseases and Sciences.

[7]  Y. Joo,et al.  [Review of 209 cases of foreign bodies in the upper gastrointestinal tract and clinical factors for successful endoscopic removal]. , 2004, The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi.

[8]  T. Chow,et al.  Risk factors predicting the development of complications after foreign body ingestion , 2003, The British journal of surgery.

[9]  S. Kanazawa,et al.  A Granulomatous Liver Abscess Which Developed After a Toothpick Penetrated the Gastrointestinal Tract: Report of a Case , 2003, Surgery Today.

[10]  P. Shaw,et al.  The antemortem diagnosis of pyogenic liver abscess due to perforation of the gut by a foreign body. , 1983, Postgraduate medical journal.

[11]  M. M. Brian K. P. Goh MBBS,et al.  Pancreatic and Hepatic Abscess Secondary to Fish Bone Perforation of the Duodenum , 2005, Digestive Diseases and Sciences.