• Ulus Travma Acil Cer · Jan 2012

    Case Reports

    A fish bone causing ileal perforation in the terminal ileum.

    • Ayhan Mutlu, Ender Uysal, Levent Ulusoy, Cihan Duran, and Derya Selamoğlu.
    • Department of Radiology, Şişli Florence Nightingale Hospital, İstanbul, Turkey. drmutlu@yahoo.com
    • Ulus Travma Acil Cer. 2012 Jan 1;18(1):89-91.

    AbstractForeign body perforation of the gastrointestinal (GI) tract has diverse clinical manifestations, and the correct preoperative diagnosis is seldom made. We report the case of a 69-year-old woman who experienced severe pain in the right iliac fossa. The presumptive diagnosis was acute purulent appendicitis or diverticulitis. Multidetector computed tomography (MDCT) imaging showed the fish bone perforation of the terminal ileum. A high index of suspicion should always be maintained in order for the correct diagnosis to be made.

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