title: A fish bone causing ileal perforation in the terminal ileum.
abstract: Foreign body perforation of the gastrointestinal (GI) tract has diverse clinical manifestations, and the correct preoperative diagnosis is seldom made. We report the case of a 69-year-old woman who experienced severe pain in the right iliac fossa. The presumptive diagnosis was acute purulent appendicitis or diverticulitis. Multidetector computed tomography (MDCT) imaging showed the fish bone perforation of the terminal ileum. A high index of suspicion should always be maintained in order for the correct diagnosis to be made.
authors.affiliation: Department of Radiology, Şişli Florence Nightingale Hospital, İstanbul, Turkey. drmutlu@yahoo.com
authors.forename: Ayhan
authors.initials: A
authors.lastname: Mutlu
authors.forename: Ender
authors.initials: E
authors.lastname: Uysal
authors.forename: Levent
authors.initials: L
authors.lastname: Ulusoy
authors.forename: Cihan
authors.initials: C
authors.lastname: Duran
authors.forename: Derya
authors.initials: D
authors.lastname: Selamoğlu
mesh_terms: D000368:Aged; D000818:Animals; D001842:Bone and Bones; D003937:Diagnosis, Differential; D004638:Emergency Treatment; D005260:Female; D005549:Foreign-Body Reaction / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000601:surgery; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000601:surgery; D017747:Seafood; D014057:Tomography, X-Ray Computed