Hospital: Hospital Universitario Ramón y Cajal.
Ciudad:
Nº:
Aut@r o Autores: J. Blanc Molina, A. Silva Rodríguez, B. Alba Pérez, A. López-Frías López-Jurado, P. Marazuela García, C. Suevos Ballesteros.,
Presentación:
A 62 year-old woman was admitted to our Emergency Department with abdominal pain that started 15 days ago and a mesogastrium palpable abdominal mass. She has no fever and laboratory tests revealed increased acute phase reactants.Abdominal US and CT were performed. They showed a well-defined fluid collection with hypercaptant walls on CT in the left rectus abdominis muscle. It was in intimate contact with the gastric wall, which it was thinned and edematous, and a fistulous tract between them was identified. Inside the collection there was a lineal image that showed slightly hyperdense on CT and hyperechogenic with posterior acoustic shadowing on US, and isolated gas bubbles. There was no pneumoperitoneum or ascites.
Discusión:
Our diagnosis was a contained gastric perforation due to a foreign body (probably a fish bone). The patient went through surgery, where the collection, with purulent material, was drained and the foreign body was found but, unfortunately, not identified.
Conclusión:
Our diagnosis was a contained gastric perforation due to a foreign body (probably a fish bone). The patient went through surgery, where the collection, with purulent material, was drained and the foreign body was found but, unfortunately, not identified.
Bibliografía:
-Gayer G, Petrovitch I, Jeffrey R. Foreign Objects Encountered in the Abdominal Cavity at CT. RadioGraphics. 2011,31(2):409-428. – Goh B, Tan Y, Lin S, Chow P, Cheah F, Ooi L et al. CT in the Preoperative Diagnosis of Fish Bone Perforation of the Gastro