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Gut 2009;58:948; doi:10.1136/gut.2008.172767a
Copyright © 2009 BMJ Publishing Group Ltd & British Society of Gastroenterology.

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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.


 

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 . . . [Full text of this article]


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