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Published in: Clinical Journal of Gastroenterology 3/2022

21-03-2022 | Computed Tomography | Case Report

A rare case of perforation of a colorectal tumor by a fish bone

Authors: Kohei Yamashita, Yoshihiro Komohara, Tomoyuki Uchihara, Kota Arima, Shinichiro Uemura, Norihisa Hanada, Hideo Baba

Published in: Clinical Journal of Gastroenterology | Issue 3/2022

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Abstract

The accidental ingestion of foreign bodies is a common clinical issue. While most foreign bodies pass through the gastrointestinal (GI) tract without complications, a few cases unfortunately result in GI perforation. Fish bones are one of the most frequent foreign bodies found in the GI tract, and they are high-risk objects for GI perforation due to their hard and sharp-pointed ends. Here, we present a rare case of a 64-year-old man with perforation of a colorectal tumor by a fish bone. The patient received emergency Hartmann’s operation with lymph node dissection. Although the patient experienced recurrence in the liver rather than peritoneal dissemination, systemic chemotherapy was considerably effective, and conversion therapy with hepatectomy was successfully performed; the patient achieved 5-year relapse-free survival after the operation. To our knowledge, this is the first report of the perforation of a GI tumor by a fish bone. This rare case suggests the significant clinical implication that proper preoperative diagnosis and prompt surgical treatment lead to better postoperative outcomes for patients with tumor perforation by a foreign body.
Literature
1.
go back to reference Goh BK, Tan YM, Lin SE, et al. CT in the preoperative diagnosis of fish bone perforation of the gastrointestinal tract. AJR Am J Roentgenol. 2006;187:710–4.CrossRef Goh BK, Tan YM, Lin SE, et al. CT in the preoperative diagnosis of fish bone perforation of the gastrointestinal tract. AJR Am J Roentgenol. 2006;187:710–4.CrossRef
2.
go back to reference Khoo HW, Ong CYG, Chinchure D. Teach a man to fillet: gastrointestinal and extra-gastrointestinal complications related to fish bone ingestion. Clin Imaging. 2021;69:150–7.CrossRef Khoo HW, Ong CYG, Chinchure D. Teach a man to fillet: gastrointestinal and extra-gastrointestinal complications related to fish bone ingestion. Clin Imaging. 2021;69:150–7.CrossRef
3.
go back to reference Bathla G, Teo LL, Dhanda S. Pictorial essay: complications of a swallowed fish bone. Indian J Radiol Imaging. 2011;21:63–8.CrossRef Bathla G, Teo LL, Dhanda S. Pictorial essay: complications of a swallowed fish bone. Indian J Radiol Imaging. 2011;21:63–8.CrossRef
4.
go back to reference Rodriguez-Hermosa JI, Codina-Cazador A, Sirvent JM, et al. Surgically treated perforations of the gastrointestinal tract caused by ingested foreign bodies. Colorectal Dis. 2008;10:701–7.CrossRef Rodriguez-Hermosa JI, Codina-Cazador A, Sirvent JM, et al. Surgically treated perforations of the gastrointestinal tract caused by ingested foreign bodies. Colorectal Dis. 2008;10:701–7.CrossRef
5.
go back to reference Joglekar S, Rajput I, Kamat S, et al. Sigmoid perforation caused by an ingested chicken bone presenting as right iliac fossa pain mimicking appendicitis: a case report. J Med Case Rep. 2009;3:7385.CrossRef Joglekar S, Rajput I, Kamat S, et al. Sigmoid perforation caused by an ingested chicken bone presenting as right iliac fossa pain mimicking appendicitis: a case report. J Med Case Rep. 2009;3:7385.CrossRef
6.
go back to reference Terrace JD, Samuel J, Robertson JH, et al. Chicken or the leg: Sigmoid colon perforation by ingested poultry fibula proximal to an occult malignancy. Int J Surg Case Rep. 2013;4:945–7.CrossRef Terrace JD, Samuel J, Robertson JH, et al. Chicken or the leg: Sigmoid colon perforation by ingested poultry fibula proximal to an occult malignancy. Int J Surg Case Rep. 2013;4:945–7.CrossRef
7.
go back to reference Vardaki E, Maniatis V, Chrisikopoulos H, et al. Sigmoid carcinoma incidentally discovered after perforation caused by an ingested chicken bone. AJR Am J Roentgenol. 2001;176:153–4.CrossRef Vardaki E, Maniatis V, Chrisikopoulos H, et al. Sigmoid carcinoma incidentally discovered after perforation caused by an ingested chicken bone. AJR Am J Roentgenol. 2001;176:153–4.CrossRef
8.
go back to reference Mutlu A, Uysal E, Ulusoy L, et al. A fish bone causing ileal perforation in the terminal ileum. Ulus Travma Acil Cerrahi Derg. 2012;18:89–91.CrossRef Mutlu A, Uysal E, Ulusoy L, et al. A fish bone causing ileal perforation in the terminal ileum. Ulus Travma Acil Cerrahi Derg. 2012;18:89–91.CrossRef
9.
go back to reference Kuzmich S, Burke CJ, Harvey CJ, et al. Perforation of gastrointestinal tract by poorly conspicuous ingested foreign bodies: radiological diagnosis. Br J Radiol. 2015;88:20150086.CrossRef Kuzmich S, Burke CJ, Harvey CJ, et al. Perforation of gastrointestinal tract by poorly conspicuous ingested foreign bodies: radiological diagnosis. Br J Radiol. 2015;88:20150086.CrossRef
10.
go back to reference Yamauchi A, Kudo SE, Mori Y, et al. Retrospective analysis of large bowel obstruction or perforation caused by oral preparation for colonoscopy. Endosc Int Open. 2017;5:E471–6.CrossRef Yamauchi A, Kudo SE, Mori Y, et al. Retrospective analysis of large bowel obstruction or perforation caused by oral preparation for colonoscopy. Endosc Int Open. 2017;5:E471–6.CrossRef
11.
go back to reference Ji D. Oral magnesium sulfate causes perforation during bowel preparation for fiberoptic colonoscopy in patients with colorectal cancer. J Emerg Med. 2012;43:716–7.CrossRef Ji D. Oral magnesium sulfate causes perforation during bowel preparation for fiberoptic colonoscopy in patients with colorectal cancer. J Emerg Med. 2012;43:716–7.CrossRef
12.
go back to reference Paixao TS, Leao RV, de Souza Maciel Rocha Horvat N, et al. Abdominal manifestations of fishbone perforation: a pictorial essay. Abdom Radiol. 2017;42:108–95.CrossRef Paixao TS, Leao RV, de Souza Maciel Rocha Horvat N, et al. Abdominal manifestations of fishbone perforation: a pictorial essay. Abdom Radiol. 2017;42:108–95.CrossRef
13.
go back to reference Hsu SD, Chan DC, Liu YC. Small-bowel perforation caused by fish bone. World J Gastroenterol. 2005;11:1884–5.CrossRef Hsu SD, Chan DC, Liu YC. Small-bowel perforation caused by fish bone. World J Gastroenterol. 2005;11:1884–5.CrossRef
14.
go back to reference Dung LT, Duc NM, My TT, et al. Cecum perforation due to a fish bone. Oxf Med Case Reports. 2021;2021:omab25.CrossRef Dung LT, Duc NM, My TT, et al. Cecum perforation due to a fish bone. Oxf Med Case Reports. 2021;2021:omab25.CrossRef
15.
go back to reference Coulier B, Tancredi MH, Ramboux A. Spiral CT and multidetector-row CT diagnosis of perforation of the small intestine caused by ingested foreign bodies. Eur Radiol. 2004;14:1918–25.CrossRef Coulier B, Tancredi MH, Ramboux A. Spiral CT and multidetector-row CT diagnosis of perforation of the small intestine caused by ingested foreign bodies. Eur Radiol. 2004;14:1918–25.CrossRef
16.
go back to reference Choi Y, Kim G, Shim C, et al. Peritonitis with small bowel perforation caused by a fish bone in a healthy patient. World J Gastroenterol. 2014;20:1626–9.CrossRef Choi Y, Kim G, Shim C, et al. Peritonitis with small bowel perforation caused by a fish bone in a healthy patient. World J Gastroenterol. 2014;20:1626–9.CrossRef
17.
go back to reference Goh BK, Jeyaraj PR, Chan HS, et al. A case of fish bone perforation of the stomach mimicking a locally advanced pancreatic carcinoma. Dig Dis Sci. 2004;49:1935–7.CrossRef Goh BK, Jeyaraj PR, Chan HS, et al. A case of fish bone perforation of the stomach mimicking a locally advanced pancreatic carcinoma. Dig Dis Sci. 2004;49:1935–7.CrossRef
18.
go back to reference Sibanda T, Pakkiri P, Ndlovu A. Fish bone perforation mimicking colon cancer: a case report. SA J Radiol. 2020;24:1885.PubMedPubMedCentral Sibanda T, Pakkiri P, Ndlovu A. Fish bone perforation mimicking colon cancer: a case report. SA J Radiol. 2020;24:1885.PubMedPubMedCentral
19.
go back to reference Ordonez CA, Puyana JC. Management of peritonitis in the critically ill patient. Surg Clin North Am. 2006;86:1323–49.CrossRef Ordonez CA, Puyana JC. Management of peritonitis in the critically ill patient. Surg Clin North Am. 2006;86:1323–49.CrossRef
20.
go back to reference Wittmann DH, Schein M, Condon RE. Management of secondary peritonitis. Ann Surg. 1996;224:10–8.CrossRef Wittmann DH, Schein M, Condon RE. Management of secondary peritonitis. Ann Surg. 1996;224:10–8.CrossRef
21.
go back to reference Ross JT, Matthay MA, Harris HW. Secondary peritonitis: principles of diagnosis and intervention. BMJ. 2018;361:k1407.CrossRef Ross JT, Matthay MA, Harris HW. Secondary peritonitis: principles of diagnosis and intervention. BMJ. 2018;361:k1407.CrossRef
22.
go back to reference Sasaki S, Nishikawa J, Saito M, et al. Endoscopic removal of a fish bone migrating and penetrating the stomach. Am J Gastroenterol. 2018;113:1282.CrossRef Sasaki S, Nishikawa J, Saito M, et al. Endoscopic removal of a fish bone migrating and penetrating the stomach. Am J Gastroenterol. 2018;113:1282.CrossRef
Metadata
Title
A rare case of perforation of a colorectal tumor by a fish bone
Authors
Kohei Yamashita
Yoshihiro Komohara
Tomoyuki Uchihara
Kota Arima
Shinichiro Uemura
Norihisa Hanada
Hideo Baba
Publication date
21-03-2022
Publisher
Springer Nature Singapore
Published in
Clinical Journal of Gastroenterology / Issue 3/2022
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-022-01622-8

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