title: Laparoscopic resection and intracorporeal anastomosis of perforated small bowel caused by fish bone ingestion.
abstract: Presently described is case of a 52-year-old man who was admitted to the emergency department with 3-day history of epigastric pain. Abdominal examination revealed diffuse tenderness and muscle guarding. Plain abdominal X-ray showed free subdiaphragmatic air. The patient underwent diagnostic laparoscopy with presumptive diagnosis of peptic ulcer perforation. Laparoscopy showed several inflamed, edematous jejunal loops with proximal obstruction and perforation by an impacted fish bone. Completely intracorporeal resection and anastomosis using laparoscopic linear stapler was performed and segment of resected bowel was removed through trocar site. Postoperative period was uneventful, and the patient was discharged on fourth day.
authors.affiliation: Department of General Surgery, Bakirköy Dr. Sadi Konuk Training and Research Hospital, İstanbul-Turkey. cemdural@hotmail.com.
authors.forename: Ahmet Cem
authors.initials: AC
authors.lastname: Dural
authors.forename: Muhammet Ferhat
authors.initials: MF
authors.lastname: Çelik
authors.forename: Hakan
authors.initials: H
authors.lastname: Yiğitbaş
authors.forename: Cevher
authors.initials: C
authors.lastname: Akarsu
authors.forename: Mahmut
authors.initials: M
authors.lastname: Doğan
authors.forename: Halil
authors.initials: H
authors.lastname: Alış
mesh_terms: D000714:Anastomosis, Surgical; D003937:Diagnosis, Differential; D013505:Digestive System Surgical Procedures; D005547:Foreign Bodies / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D007583:Jejunum; D008297:Male; D008875:Middle Aged