Case Report
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World J Gastroenterol. Feb 14, 2014; 20(6): 1626-1629
Published online Feb 14, 2014. doi: 10.3748/wjg.v20.i6.1626
Peritonitis with small bowel perforation caused by a fish bone in a healthy patient
Yonghoon Choi, Gyuwon Kim, Chansup Shim, Dongkeun Kim, Dongju Kim
Yonghoon Choi, Dongkeun Kim, Dongju Kim, Department of Internal Medicine, Sahmyook Seoul Hospital, Seoul 130711, South Korea
Gyuwon Kim, Department of Gastroenterology, Sahmyook Seoul Hospital, Seoul 130711, South Korea
Chansup Shim, Digestive Disease Center, Konkuk University Medical Center, Seoul 190647, South Korea
Author contributions: Choi Y and Kim G designed the report; Choi Y, Kim D, and Kim D were attending doctors for the patients; Shim C organized the report; and Choi Y wrote paper.
Correspondence to: Yonghoon Choi, MD, Department of Internal Medicine, Sahmyook Seoul Hospital, 82, Mangu-ro, Dongdaemun-gu, Seoul 130711, South Korea. moonsin12345@naver.com
Telephone: ++82-2-15773675 Fax: +82-2-22103263
Received: August 25, 2013
Revised: October 16, 2013
Accepted: November 18, 2013
Published online: February 14, 2014
Core Tip

Core tip: A healthy patient who had no intestinal disease or history of abdominal surgery was admitted with abdominal pain. The computer tomography scan showed a small quantity of free air with mesentery, suggesting microperforation. An emergency exploratory laparotomy was performed, and microperforation at the mid-portion of the jejunum caused by an ingested fish bone was revealed.