FISH BONE AS A CAUSE OF SEALED INTESTINAL PERFORATION, A RARE PRESENTATION
Abstract
Foreign body (FB) ingestion is frequently reported topic in pediatric litratrure. Spontaneous passage of FB through the
gastrointestinal tract is a norm and the complication rate is very low. Nonspecific presentation and lack of obvious history
are the main culprit for delayed diagnosis of these conditions. We also came across a patient with sealed intestinal
perforation due to fish bone. This patient presented to us with a one week history of generalised pain abdomen, bilious
vomiting, high grade fever, abdominal distension and constipation. There was no history of any foreign body ingestion
at that time. On examination tenderness was more in the left hypochondrium. Plain radiographs of the abdomen and
CT failed to detect any foreign body. However, ultrasound and CT scan of the abdomen showed some mass lesion
with a suspicion of intussusceptions. Abdominal exploration and careful dissection of a mass lesion in the left upper
quadrant revealed sealed intestinal perforation and a fish bone lying outside the intestinal lumen. Postoperative patient
recovered well and discharge on home medication
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