• Ulus Travma Acil Cer · Nov 2016

    Case Reports

    Laparoscopic resection and intracorporeal anastomosis of perforated small bowel caused by fish bone ingestion.

    • Ahmet Cem Dural, Muhammet Ferhat Çelik, Hakan Yiğitbaş, Cevher Akarsu, Mahmut Doğan, and Halil Alış.
    • Department of General Surgery, Bakirköy Dr. Sadi Konuk Training and Research Hospital, İstanbul-Turkey. cemdural@hotmail.com.
    • Ulus Travma Acil Cer. 2016 Nov 1; 22 (6): 572-574.

    AbstractPresently described is case of a 52-year-old man who was admitted to the emergency department with 3-day history of epigastric pain. Abdominal examination revealed diffuse tenderness and muscle guarding. Plain abdominal X-ray showed free subdiaphragmatic air. The patient underwent diagnostic laparoscopy with presumptive diagnosis of peptic ulcer perforation. Laparoscopy showed several inflamed, edematous jejunal loops with proximal obstruction and perforation by an impacted fish bone. Completely intracorporeal resection and anastomosis using laparoscopic linear stapler was performed and segment of resected bowel was removed through trocar site. Postoperative period was uneventful, and the patient was discharged on fourth day.

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