Fish bone ingestion is a common problem in the emergency department. Most cases have uneventful outcome. But occasionally it can cause serious complications if the gastrointestinal tract is perforated. A case of liver abscess caused by a fish bone is presented. It highlights the importance of maintaining a high level of clinical acumen in managing this apparently benign problem.
NandiP., OngG.B.Foreign body in the oesophagus: review of 2394 cases.Br J Surg1978; 65(1): 5–9.
2.
ChungC.H., LauC.K., ChowT.L.Swallowed foreign bodies in adults.HK Pract1991; 13(11): 1805–6.
3.
SinghB., KantuM., Har-ElG.Complications associated with 327 foreign bodies of the pharynx, larynx and esophagus.Ann Otol Rhino Laryngol1997; 106(4): 301–4.
4.
NganJ.H., FokP.J., LaiE.S.A prospective study on fish bone ingestion. Experience of 358 patients.Ann Surg1990; 211(4): 459–62.
5.
SpitzL.Management of ingested foreign bodies in childhood.Br Med J1971; 4(785): 469–72.
6.
VelitchkovN.G., GrigorovG.I., LosanoffJ.E.Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases.World J Surg1996; 20(8): 1001–5.
7.
WeissbergD.Foreign bodies in the gastro-intestinal tract.S Afr J Surg1991; 29(4): 150–3.
8.
DabadieA., RousseyM., BetremieuxP.Acute pancreatitis from a duodenal foreign body in a child.J Pediatr Gastroenterol Nutr1989; 8(4): 533–5.
BroomeC.J., PeckR.J.Hepatic abscess complicating foreign body perforation of the gastric antrum: an ultrasound diagnosis.Clin Radiol2000; 55(3): 242–3.
11.
TsuiB.C., MosseyJ.Occult liver abscess following clinically unsuspected ingestion of foreign bodies.Can J Gastroenterol1997; 11(5): 445–8.
12.
LueA.J., FangW.D., ManolidisS.Use of plain radiography and computed tomography to identify fish bone foreign bodies.Otolaryngol Head Neck Surg2000; 123(4): 435–8.
