2014•Progress of Digestive EndoscopyOpen access
A endoscopic treatment of penetration of the sigmoid colon by an ingested fish bone
Shingo Ito, Ryosuke Ichikawa, Kumpei Honjo, Masaya Kawai, Yoshihiko Tashiro, Koichiro Niwa, Shun Ishiyama, Kiichi Sugimoto, Hirohiko Kamiyama, Makoto Takahashi, 行宏 柳沼, Yutaka Kojima, Masanobu Tanaka, Michitoshi Goto, Yuichi Tomiki, Kazuhiro Sakamoto
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Abstract
A 68-year-old woman was admitted to the hospital with lower abdominal pain. Abdominal CT revealed a long linear high-density foreign object measuring about 3 cm long, which had penetrated the wall of the sigmoid colon. Emergency endoscopy was performed, because the patient was diagnosed as having possible penetration of the sigmoid colon by a fish bone. The emergency endoscopic examination revealed a fish bone penetrating the sigmoid colon, which was removed with grasping forceps. The removed bone measured 3 cm in length and was believed to belong to a sea bream. The patient was treated conservatively without any complications. For intestinal perforation and penetration caused by a fish bone, such as in our case, endoscopic treatment may be considered as the treatment procedure of first choice.
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