title: Endoscopic Removal of Duodenal Perforating Fishbone - A Case Report.
abstract: BACKGROUND
  Accidental ingestion of foreign bodies is common in clinical practice. While perforation of the ileum and jejunum due to the ingested foreign body is common, duodenal perforation is rare. In this report, our experience with this rare entity is shared.
  
  
  METHODS
  Here we present a 31-year-old patient with gastrointestinal tract perforation at the second part of the duodenum due to an ingested fishbone. The patient was admitted to the emergency room with abdominal pain. Right upper quadrant tenderness was detected at physical examination, and leukocytosis on the laboratory test results. Ultra-sonography was not diagnostic, however, computerized tomo-graphy showed an ingested foreign body in the second part of the duodenum. A fishbone perforating the duodenum was retrieved by endoscopy. The patient was managed non-operatively, and discharged without any problems on the third day after endoscopy.
  
  
  CONCLUSIONS
  Endoscopic removal and non-operative management may be feasible in carefully selected patients with duodenal perforated fishbone ingestion.
authors.forename: V
authors.initials: V
authors.lastname: Tumay
authors.forename: O S
authors.initials: OS
authors.lastname: Guner
authors.forename: M
authors.initials: M
authors.lastname: Meric
authors.forename: O
authors.initials: O
authors.lastname: Isik
authors.forename: A
authors.initials: A
authors.lastname: Zorluoglu
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D000818:Animals; D001842:Bone and Bones; D004384:Duodenoscopy / Q000295:instrumentation / Q000379:methods; D004386:Duodenum / Q000293:injuries*; D004435:Eating; D004636:Emergency Service, Hospital; D005399:Fishes; D005547:Foreign Bodies / Q000150:complications* / Q000628:therapy*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000628:therapy*; D008297:Male; D016896:Treatment Outcome