Embedded Ileal Fish Bone Removed via Deep Enteroscopy in a Patient with Abdominal Pain and Hematochezia: A Case Report
Ingestion of foreign bodies is a prevalent issue in clinical practice, with fish bones being the predominant cause. While the upper gastrointestinal tract is commonly affected, small intestine impactions pose significant diagnostic challenges due to nonspecific symptoms and lack of awareness of fore...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-12-01
|
| Series: | Medicina |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1648-9144/61/1/30 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832587988370980864 |
|---|---|
| author | Hsin-Yang Chen Chao-Feng Chang Tien-Yu Huang I-Hsuan Huang |
| author_facet | Hsin-Yang Chen Chao-Feng Chang Tien-Yu Huang I-Hsuan Huang |
| author_sort | Hsin-Yang Chen |
| collection | DOAJ |
| description | Ingestion of foreign bodies is a prevalent issue in clinical practice, with fish bones being the predominant cause. While the upper gastrointestinal tract is commonly affected, small intestine impactions pose significant diagnostic challenges due to nonspecific symptoms and lack of awareness of foreign body ingestion. Herein, we describe a case presenting with recurrent, unexplained abdominal pain and hematochezia. Multiple diagnostic investigations, including esophagogastroduodenoscopy and colonoscopy, conducted over several months failed to identify the underlying cause until a retrograde single-balloon enteroscopy for obscure gastrointestinal bleeding revealed a 2.3 cm fish bone embedded in the distal ileum. The successful removal of the fish bone led to the resolution of the patient’s symptoms. This case highlights that foreign bodies in the small intestine can be a cause of hematochezia and emphasizes the growing importance of deep enteroscopy techniques in detecting and retrieving these foreign objects, thereby reducing the need for surgery. |
| format | Article |
| id | doaj-art-45583e1a9c194d61a429b5567ec1ca61 |
| institution | Kabale University |
| issn | 1010-660X 1648-9144 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj-art-45583e1a9c194d61a429b5567ec1ca612025-01-24T13:40:18ZengMDPI AGMedicina1010-660X1648-91442024-12-016113010.3390/medicina61010030Embedded Ileal Fish Bone Removed via Deep Enteroscopy in a Patient with Abdominal Pain and Hematochezia: A Case ReportHsin-Yang Chen0Chao-Feng Chang1Tien-Yu Huang2I-Hsuan Huang3Division of Gastroenterology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Chenggong Road, Neihu District, Taipei City 114202, TaiwanDivision of Gastroenterology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Chenggong Road, Neihu District, Taipei City 114202, TaiwanDivision of Gastroenterology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Chenggong Road, Neihu District, Taipei City 114202, TaiwanDivision of Gastroenterology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Chenggong Road, Neihu District, Taipei City 114202, TaiwanIngestion of foreign bodies is a prevalent issue in clinical practice, with fish bones being the predominant cause. While the upper gastrointestinal tract is commonly affected, small intestine impactions pose significant diagnostic challenges due to nonspecific symptoms and lack of awareness of foreign body ingestion. Herein, we describe a case presenting with recurrent, unexplained abdominal pain and hematochezia. Multiple diagnostic investigations, including esophagogastroduodenoscopy and colonoscopy, conducted over several months failed to identify the underlying cause until a retrograde single-balloon enteroscopy for obscure gastrointestinal bleeding revealed a 2.3 cm fish bone embedded in the distal ileum. The successful removal of the fish bone led to the resolution of the patient’s symptoms. This case highlights that foreign bodies in the small intestine can be a cause of hematochezia and emphasizes the growing importance of deep enteroscopy techniques in detecting and retrieving these foreign objects, thereby reducing the need for surgery.https://www.mdpi.com/1648-9144/61/1/30fish boneforeign bodyabdominal paingastrointestinal tract bleedinghematocheziaballoon enteroscopy |
| spellingShingle | Hsin-Yang Chen Chao-Feng Chang Tien-Yu Huang I-Hsuan Huang Embedded Ileal Fish Bone Removed via Deep Enteroscopy in a Patient with Abdominal Pain and Hematochezia: A Case Report Medicina fish bone foreign body abdominal pain gastrointestinal tract bleeding hematochezia balloon enteroscopy |
| title | Embedded Ileal Fish Bone Removed via Deep Enteroscopy in a Patient with Abdominal Pain and Hematochezia: A Case Report |
| title_full | Embedded Ileal Fish Bone Removed via Deep Enteroscopy in a Patient with Abdominal Pain and Hematochezia: A Case Report |
| title_fullStr | Embedded Ileal Fish Bone Removed via Deep Enteroscopy in a Patient with Abdominal Pain and Hematochezia: A Case Report |
| title_full_unstemmed | Embedded Ileal Fish Bone Removed via Deep Enteroscopy in a Patient with Abdominal Pain and Hematochezia: A Case Report |
| title_short | Embedded Ileal Fish Bone Removed via Deep Enteroscopy in a Patient with Abdominal Pain and Hematochezia: A Case Report |
| title_sort | embedded ileal fish bone removed via deep enteroscopy in a patient with abdominal pain and hematochezia a case report |
| topic | fish bone foreign body abdominal pain gastrointestinal tract bleeding hematochezia balloon enteroscopy |
| url | https://www.mdpi.com/1648-9144/61/1/30 |
| work_keys_str_mv | AT hsinyangchen embeddedilealfishboneremovedviadeepenteroscopyinapatientwithabdominalpainandhematocheziaacasereport AT chaofengchang embeddedilealfishboneremovedviadeepenteroscopyinapatientwithabdominalpainandhematocheziaacasereport AT tienyuhuang embeddedilealfishboneremovedviadeepenteroscopyinapatientwithabdominalpainandhematocheziaacasereport AT ihsuanhuang embeddedilealfishboneremovedviadeepenteroscopyinapatientwithabdominalpainandhematocheziaacasereport |