Abstract

SIBANDA, Thokozani; PAKKIRI, Pria  and  NDLOVU, Anne. Fish bone perforation mimicking colon cancer: A case report. S. Afr. J. radiol. (Online) [online]. 2020, vol.24, n.1, pp.1-4. ISSN 2078-6778.  http://dx.doi.org/10.4102/sajr.v24i1.1885.

Most patients who ingest fish bones do not develop any complications. The small proportion of patients who do complicate, present with non-specific symptoms. A 64-year-old female patient presented with a 2-month history of abdominal pain. Following clinical evaluation and computed tomography scan of the abdomen, a provisional diagnosis of colon cancer was made. Histology of the resected bowel at hemicolectomy demonstrated a perforation by fish bone with an associated abscess. The case illustrates how fish bone perforation may mislead unsuspecting clinicians and may be misdiagnosed as colonic cancer.

Keywords : bowel perforation; fish bone; hemicolectomy; colonic malignancy; abscess; computed tomography.

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