Diagnostic and Interventional Radiology
Emergency Radiology - Pictorial Essay

CT findings of accidental fish bone ingestion and its complications

1.

Department of Radiology, Singapore General Hospital, Outram, Singapore

Diagn Interv Radiol 2016; 22: 156-160
DOI: 10.5152/dir.2015.15187
Read: 724 Downloads: 216 Published: 03 September 2019

Abstract

Fish bone is one of the most common accidentally ingested foreign bodies, and patients commonly present to the emergency department with nonspecific symptoms. Fortunately, most of them are asymptomatic and exit the gastrointestinal tract spontaneously. However, fish bones can get impacted in any part of the aerodigestive tract and cause symptoms. Occasionally, they are asymptomatic initially after ingestion and may present remotely at a later date with serious complications such as gastrointestinal tract perforation, obstruction, and abscess formation. Radiographs are most often negative. High degree of clinical suspicion and familiarity with CT appearance can help to detect fish bone along with any associated complications, and direct further management. We describe and illustrate various CT presentations of ingested fish bone and its complications.

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EISSN 1305-3612