# A case report of extremely rare case of fishbone penetration from stomach into spleen, causing splenic abscess, managed by spleen preserving surgery

**Authors:** Yasir Adam Fadlalla, Srinivasa Swamy Bandaru

PMC · DOI: 10.1016/j.ijscr.2024.110098 · International Journal of Surgery Case Reports · 2024-07-30

## TL;DR

A rare case of a fishbone piercing from the stomach into the spleen, causing an abscess, was successfully treated with surgery that preserved the spleen.

## Contribution

This case report presents an extremely rare clinical scenario of fishbone-induced splenic abscess managed with spleen-preserving surgery.

## Key findings

- Fishbone penetration from the stomach into the spleen can cause a splenic abscess and acute peritonitis.
- Contrast-enhanced CT scans can effectively diagnose such rare cases pre-operatively.
- Spleen-preserving surgery is a viable treatment option for this condition.

## Abstract

Fishbone penetrating from the stomach into the spleen, causing a splenic abscess, is an extremely rare condition.

We report a case of fishbone penetration from the stomach into the spleen, presenting as a splenic abscess and acute peritonitis, diagnosed pre-operatively with a contrast-enhanced CT scan of the abdomen and subsequently managed with spleen-preserving surgery.

Fishbone penetration from the stomach into the spleen, causing a splenic abscess, which is an extremely rare occurrence. We successfully diagnosed and managed this case with spleen-preserving surgery, and the patient recovered well.

A rare case of fishbone penetration from the stomach into the spleen causing a splenic abscess was diagnosed radiologically pre-operatively and managed by a spleen-preserving procedure.

•Fishbone penetration from stomach into spleen•Fishbone & splenic abscess, presenting as generalized peritonitis•Managed by spleen preserving surgery•Extremely rare case to be reported

Fishbone penetration from stomach into spleen

Fishbone & splenic abscess, presenting as generalized peritonitis

Managed by spleen preserving surgery

Extremely rare case to be reported

## Linked entities

- **Diseases:** splenic abscess (MONDO:0002333)

## Full-text entities

- **Diseases:** splenic abscess (MESH:D000038), peritonitis (MESH:D010538)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11350250/full.md

## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC11350250/full.md

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Source: https://tomesphere.com/paper/PMC11350250