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Conference Paper: Difficult diagnosis in atypical presentations of fish bone ingestion: two case reports and literature review

TitleDifficult diagnosis in atypical presentations of fish bone ingestion: two case reports and literature review
Authors
Issue Date2018
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGH
Citation
Asian Pacific Digestive Week 2018 in conjunction with 2nd Korea Digestive Disease Week (APDW-KDDW), Seoul, Korea, 15-18 November 2018. In Journal of Gastroenterology and Hepatology, 2018, v. 33 n. Suppl. 4, p. 554 How to Cite?
AbstractBackground and Aims: Fishbone ingestion (FBI) is relatively common in our locality as the fishes are usually not filleted during the preparation. The diagnosis of complication from FBI poses a particular challenge because it could mimic varieties of uncommon pathologies on computer tomography (CT). Methods: We will report the difficult diagnosis in two patients with atypical presentations after unintended FBI. Results: The first patient was a 45-year-old man presenting with right lower quadrant abdominal pain. CT showed a 2 cm abdominal wall abscess next to a segment of inflamed ileum. Meckel’s diverticulitis with concealed perforation was suspected and managed with antibiotics. Two months later, local resection was performed for an abdominal wall mass and then a 4 cm long fish bone was found inside the specimen. Another 69-year-old woman presented with one-month history of right lower quadrant abdominal pain. CT showed an infarcted omentum with a central linear hyperdensity, suspected to be thrombosed vessel. As the patient had high fever and peritonitis, emergency laparotomy was performed. Intraoperatively, a 3 cm long fishbone was embedded between the fibrotic omentum and ileocecal region. The most interesting point is that the two patients could not recall any incidence of FBI. Conclusion: The diagnosis of complication from FBI remains a great challenge to clinicians. High index of suspicion is warranted even though there is no history of FBI.
DescriptionAPDW 2018 E-poster Exhibitions – Small Intestine - no. OE-0746 (PE-0705)
Persistent Identifierhttp://hdl.handle.net/10722/268345
ISSN
2017 Impact Factor: 3.483
2015 SCImago Journal Rankings: 1.190

 

DC FieldValueLanguage
dc.contributor.authorCheung, HHB-
dc.contributor.authorYip, J-
dc.contributor.authorWei, R-
dc.contributor.authorTsang, J-
dc.contributor.authorNg, KK-
dc.contributor.authorFoo, CC-
dc.contributor.authorLo, OSH-
dc.contributor.authorLaw, WL-
dc.date.accessioned2019-03-18T04:23:39Z-
dc.date.available2019-03-18T04:23:39Z-
dc.date.issued2018-
dc.identifier.citationAsian Pacific Digestive Week 2018 in conjunction with 2nd Korea Digestive Disease Week (APDW-KDDW), Seoul, Korea, 15-18 November 2018. In Journal of Gastroenterology and Hepatology, 2018, v. 33 n. Suppl. 4, p. 554-
dc.identifier.issn0815-9319-
dc.identifier.urihttp://hdl.handle.net/10722/268345-
dc.descriptionAPDW 2018 E-poster Exhibitions – Small Intestine - no. OE-0746 (PE-0705)-
dc.description.abstractBackground and Aims: Fishbone ingestion (FBI) is relatively common in our locality as the fishes are usually not filleted during the preparation. The diagnosis of complication from FBI poses a particular challenge because it could mimic varieties of uncommon pathologies on computer tomography (CT). Methods: We will report the difficult diagnosis in two patients with atypical presentations after unintended FBI. Results: The first patient was a 45-year-old man presenting with right lower quadrant abdominal pain. CT showed a 2 cm abdominal wall abscess next to a segment of inflamed ileum. Meckel’s diverticulitis with concealed perforation was suspected and managed with antibiotics. Two months later, local resection was performed for an abdominal wall mass and then a 4 cm long fish bone was found inside the specimen. Another 69-year-old woman presented with one-month history of right lower quadrant abdominal pain. CT showed an infarcted omentum with a central linear hyperdensity, suspected to be thrombosed vessel. As the patient had high fever and peritonitis, emergency laparotomy was performed. Intraoperatively, a 3 cm long fishbone was embedded between the fibrotic omentum and ileocecal region. The most interesting point is that the two patients could not recall any incidence of FBI. Conclusion: The diagnosis of complication from FBI remains a great challenge to clinicians. High index of suspicion is warranted even though there is no history of FBI.-
dc.languageeng-
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/JGH-
dc.relation.ispartofAsia Pacific Digestive Week APDW 2018-
dc.relation.ispartofJournal of Gastroenterology and Hepatology-
dc.titleDifficult diagnosis in atypical presentations of fish bone ingestion: two case reports and literature review-
dc.typeConference_Paper-
dc.identifier.emailYip, J: yipjeremy@hku.hk-
dc.identifier.emailWei, R: rwei@hku.hk-
dc.identifier.emailNg, KK: ngkakin@hku.hk-
dc.identifier.emailFoo, CC: ccfoo@hku.hk-
dc.identifier.emailLo, OSH: oswens@hku.hk-
dc.identifier.emailLaw, WL: lawwl@hkucc.hku.hk-
dc.identifier.authorityYip, J=rp02304-
dc.identifier.authorityFoo, CC=rp01899-
dc.identifier.authorityLaw, WL=rp00436-
dc.identifier.doihttps://doi.org/10.1111/jgh.14490-
dc.identifier.hkuros297066-
dc.identifier.volume33-
dc.identifier.issueSuppl. 4-
dc.identifier.spage554-
dc.identifier.epage554-
dc.publisher.placeAustralia-

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