Colovesical fish bone perforation in a 94 year old lady
Alistair Coleman, Arifa Siddika, S Al-Hyassat and Thomas Pearson
World Journal of Medical and Surgical Case Reports 2013, 2:16
Perforation of the alimentary tract and surrounding organs is a recognised complication of the ingestion of foreign bodies, particularly fish bones. Such perforations are more common at the proximal end of the alimentary tract and in countries where ingestion of fish bones is more prevalent, such as Japan.
We report a case of a 94 year old lady who presented to A&E in the UK with an inflammatory mass in her lower abdomen caused by a fish bone perforating her colon and urinary bladder. A left hemi-colectomy and partial cystectomy was performed and the patient recovered well.
The ingestion of foreign bodies, particularly fish bones is well documented. However, this is the first reported case in the UK of a fish bone causing trauma to the urinary bladder. In such cases where involvement of the urinary bladder is suspected, cystoscopy may be of benefit.
fish bone, perforation, urinary bladder, diverticular disease, colon