title: Fish bone perforation of the terminal ileum presenting as acute appendicitis.
abstract: We report a case of a bowel perforation due to a fish bone that presented as an acute abdomen. This patient's gastrointestinal perforation was treated with laparoscopic and open technique. Diagnosis can be difficult as foreign body bowel perforation can mimic other causes of acute abdomen. Diagnosis is still most commonly made intraoperatively. Laparoscopy proved useful in this case as it allowed the most appropriate surgical approach to be made.
authors.affiliation: UHL, Leicester General Hospital, Leicester, UK.
authors.forename: David
authors.initials: D
authors.lastname: Saunders
authors.forename: Michael
authors.initials: M
authors.lastname: Jones
authors.forename: Monika
authors.initials: M
authors.lastname: Kaushik
authors.forename: William Michael
authors.initials: WM
authors.lastname: Thomas
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology*; D001064:Appendicitis / Q000175:diagnosis*; D001842:Bone and Bones; D005547:Foreign Bodies / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007082:Ileum / Q000293:injuries*; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D017747:Seafood / Q000009:adverse effects*