Fishbone Perforated Appendicitis

Authors

  • Joey Chan Yiing Beh
  • Anandswaroop Srinivas Uppaluri
  • Beatrice Fang Ju Koh
  • Peng-Chung Cheow

DOI:

https://doi.org/10.3941/jrcr.v10i7.2826

Keywords:

Fishbone, foreign body, perforation, appendix, intestine, computed tomography

Abstract

Ingested foreign bodies tend to pass through the gastrointestinal tract without incidence, and vast majority of cases do not need intervention. Rarely, these foreign bodies drop into the appendix and not likely to re-enter the normal digestive tract. We describe a case of a 72-year-old male patient who presented with right iliac fossa pain of 3-day duration. Clinical examination suggested classic acute appendicitis. Blood test results revealed leukocytosis. Computed tomography of the abdomen and pelvis showed evidence of acute appendicitis and a linear hyperdensity (foreign body) perforating the appendix. The patient was managed successfully with prompt laparoscopic appendectomy and removal of the foreign body which was confirmed to be a fish bone measuring about 10mm. While imaging diagnosis of fishbone in the appendix has been published, reports are few. To the best of the author's knowledge, fishbone induced perforated appendicitis has been described only in 2 cases (including this case) in the literature.

Author Biographies

Joey Chan Yiing Beh

Senior Resident

Department of Diagnostic Radiology

Singapore General Hospital

Anandswaroop Srinivas Uppaluri

Associate Consultant

Department of Diagnostic Radiology

Singapore General Hospital

 

Beatrice Fang Ju Koh

Senior Resident

Department of Hepato-Pancreato-Biliary/ Transplant Surgery

Singapore General Hospital

Peng-Chung Cheow

Adj. A/Professor

Department of Hepato-Pancreato-Biliary/ Transplant Surgery

Singapore General Hospital

Published

2016-07-10

Issue

Section

Gastrointestinal Radiology