Radiological and Surgical Findings in Fish Bone Perforation of the Alimentary Limb in a Patient with Previous Gastric Bypass: A Case Report

Gastrointestinal perforation caused by a fish bone is rarely documented.The commonest site is the oesophagus, followed by the ileum.Few cases have been reported involving the appendix or Meckel's diverticulum.Herein, the authors reported an interesting case of a female patient with a history of bariatric surgery who developed bowel perforation after fish bone ingestion.She presented with abdominal pain and signs of peritonitis.She underwent urgent diagnostic laparoscopy, removal of the fish bone, and primary closure of the small bowel perforation.Foreign body ingestion and bowel perforation should be kept in mind when the aetiology of an acute abdomen is not clear.To provide proper care, a low threshold for diagnostic laparoscopy and a high index of suspicion are necessary.