Computed tomography description of abdominal complications due to fishbone ingestion

IF 3.9 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

European Journal of Radiology Pub Date : 2026-03-01 Epub Date: 2026-02-07 DOI:10.1016/j.ejrad.2026.112720

Aya Ben Zitoun , Aida Tankoano , Alolia Aboikoni , Magaly Zappa , Lorenzo Garzelli

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引用次数: 0

Abstract

Purpose: Inadvertent ingestion of fishbone can lead to bowel perforation. Numerous cases reports have been published; therefore, we aimed to describe the localization and type of complication in a dedicated cohort.

Material and Methods: From 2009 to 2023, we queried our local informatic department (Cayenne Hospital, French Guiana) to search electronic patient records (ICD-10 code T18: Foreign body in alimentary tract) and we reviewed each case to identify abdominal complication caused by fishbone ingestion. Patients with complication occurring above the stomach without a computed tomography available (CT) were excluded. Clinical, biological, imaging and treatment related data were collected. The overall raw incidence was estimated.

Results: Forty-two patients (mean age: 60 years old ± 15; female 36%) were included for analysis from May 2014 to June 2023. Abdominal pain was present in 41/42 patients (98%) and inflammatory biological syndrome was found in 34/42 patients (81%). On CT, perforation of the bowel wall was seen in 41/42 patients (98%), intra-abdominal collection in 17/42 patients (40%) and pneumoperitoneum in 2/42 patients (5%). The ileum (11/42, 26%) was the most common complication site, followed by the liver (6/42, 14%), and the right colon and stomach (5/42, 11% each). Treatment included surgery for 23/42 patients (55%), antibiotics alone for 14/42 patients (33%), endoscopic removal for 4/42 patients (10%), and percutaneous drainage for 1/42 patient (2%). The estimated incidence was 2.9 per 100,000 person-years.

Conclusion: We report the largest analysis of bowel perforation secondary to fishbone ingestion, providing an exhaustive spectrum of localization and type.

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鱼骨摄入引起的腹部并发症的计算机断层扫描描述。

用途：误食鱼骨可导致肠穿孔。已发表了许多病例报告；因此，我们的目的是在一个专门的队列中描述并发症的定位和类型。材料与方法：2009年至2023年，我们查询当地信息科（法属圭亚那卡宴医院）检索电子病历（ICD-10代码T18：消化道异物），并对每例病例进行回顾性分析，以确定摄入鱼骨引起的腹部并发症。排除了发生在胃上方且没有CT检查的并发症患者。收集临床、生物学、影像学及治疗相关资料。估计总的原始发病率。结果：2014年5月至2023年6月共纳入42例患者，平均年龄60±15岁，女性36%。42例患者中有41例（98%）出现腹痛，34例（81%）出现炎症性生物学综合征。在CT上，41/42例患者（98%）可见肠壁穿孔，17/42例患者（40%）可见腹腔内收集，2/42例患者（5%）可见气腹。回肠（11/42,26%）是最常见的并发症部位，其次是肝脏（6/42,14%）、右结肠和胃（5/42，各占11%）。治疗包括手术23/42例（55%），单独使用抗生素14/42例（33%），内镜下切除4/42例（10%），经皮引流1/42例（2%）。估计发病率为每10万人年2.9例。结论：我们报告了最大的分析继发于鱼骨摄入肠穿孔，提供了详尽的定位和类型。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Radiology 医学-核医学

CiteScore

6.70

自引率

3.00%

发文量

398

审稿时长

42 days

期刊介绍： European Journal of Radiology is an international journal which aims to communicate to its readers, state-of-the-art information on imaging developments in the form of high quality original research articles and timely reviews on current developments in the field. Its audience includes clinicians at all levels of training including radiology trainees, newly qualified imaging specialists and the experienced radiologist. Its aim is to inform efficient, appropriate and evidence-based imaging practice to the benefit of patients worldwide.