A Case of Intra-abdominal Abscess due to Fish Bone Penetration Diagnosed by Abdominal CT

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  • 術前診断された魚骨穿通による腹腔内膿ようの１例
  • ジュツゼン シンダン サレタ ギョコツ センツウ ニヨル フッコウナイ ノウヨウ ノ 1レイ
  • 症例報告 術前診断された魚骨穿通による腹腔内膿瘍の1例
  • ショウレイ ホウコク ジュツゼン シンダン サレタ ギョコツセンツウ ニ ヨル フクコウ ナイ ノウヨウ ノ 1レイ

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Abstract

We experienced a case of intra-abdominal abscess due to fish bone penetration. A 38-year-old man was admitted to our hospital because of a lower abdominal pain. He had an abdominal mass and abdominal CT and magnetic resonance imaging revealed an intra-abdominal abscess with a fish bone. The laparotomy was carried out. Operative findings were an intra-abdominal abscess with a fish bone surrounded by the omentum. The sigmoid colon appeared to be a penetrated site. An about 2.5 cm fish bone was removed and partial omentectomy and peritoneal drainage was performed. Postoperative course was uneventful and the patient was discharged on the 21st postoperative day.<br>Intra-abdominal abscess due to fish bone penetration is a relatively rare entity. It has been believed that the preoperative diagnosis is difficult, but that CT examination is effective in preoperative diagnosis.

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