The Fish Bone that went too Far: A Geriatric Case of Fish Bone- Induced Colonic Perforation and Abdominal Wall Abscess

Accidental ingestion of fish bone is a frequent occurrence, with most of cases going unnoticed as they pass through the gastrointestinal tract.Complications related to it such as perforation is rare.Diagnosis is challenging due to nonspecific symptoms, and timely surgical intervention is critical to preventing severe complications.We present the case of a 78-yearold male with nonspecific symptoms.Despite treatment for a suspected upper respiratory infection with intravenous antibiotics, his inflammatory markers remained elevated, prompting further investigation.Contrast-enhanced CT revealed a right lower abdominal wall collection with a linear calcified density, raising suspicion of a fish bone.