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From the question on page 896
The computed tomography (CT) scan showed a circumlinear calcified structure impacted in the small intestine (fig 1 in the question, arrow). When asked, she recalled having soup of chopped whole fish body at the previous dinner but was unaware of ingestion of a fish bone. Laparotomy was performed because of a high suspicion of perforation by the fish bone. The laparotomy showed a fish bone, 3.5 cm in length, penetrating the jejunum without the formation of an abscess (fig 1, below). The perforation was sutured and the patient had an uneventful postoperative recovery.
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Figure 1 Intraoperative picture of a fish bone perforating the jejunum.
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Fish bones are one of the most commonly ingested foreign bodies and causes of bowel perforation. Because of the low degree of radio-opacity, fish bones are difficult to detect by plain radiographs. The absence of free air under the
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