Emergency Laparoscopic Removal of an Ingested Fishbone Perforating the Stomach After Endoscopy: A Case Report

TL;DR

A 70-year-old woman had stomach pain caused by a fishbone that pierced her stomach, and doctors successfully removed it using laparoscopic surgery.

Contribution

This case report presents the 10th documented instance of gastric perforation from a foreign body treated with laparoscopy.

Findings

Laparoscopic surgery successfully removed the fishbone and repaired the stomach perforation.

Fat stranding on MDCT was indicative of gastric perforation.

Laparoscopy is a viable option when endoscopy fails to remove a foreign body causing perforation.

Abstract

A 70-year-old female who presented with epigastric pain of two days' duration was reported. Her multi-detector computed tomography (MDCT) images showed peri-gastric fat stranding on MDCT, corresponding to the extra-gastric wall inflammation due to gastric perforation. Laparoscopic surgery was successfully performed to remove the extra-gastric foreign body and repair the perforation with the lesser omentum. To the best of our knowledge, the literature review showed that this is the 10th case of gastric perforation due to a foreign body treated by laparoscopy. The fat stranding is considered indicative of gastric perforation, and laparoscopy must be prepared when gastroscopy fails to remove and save the gastric perforation.

Figures