Abstract

GONZALEZ AGUILAR, José Alberto; CUE TOLEDO, Orlando  and  SANCHEZ PORTELA, Carlos Antonio. Foreign Body in the Small Intestine. Rev Cubana Cir [online]. 2019, vol.58, n.2, e648.  Epub June 01, 2019. ISSN 0034-7493.

We present the case of a male patient, 39 years of age, who presents to the emergency room of Abel Santamaría Cuadrado General Teaching Hospital with a clinical picture of abdominal pain of three days of natural history. He is surgically intervened with the presumptive diagnosis of complicated acute appendicitis. In the surgical act, the cecal appendix was verified to be normal and, when examining the terminal ileum, at a distance of approximately 50 cm, a Meckel's diverticulum was found, and, at 5 cm from this, a fish spine adhered to the intestinal wall, which seemed to be the cause of the clinical picture, since the diverticulum was also normal. The treatment consisted of transferring the spine to the diverticulum and performing intestinal resection of that section with end-to-end anastomosis. The postoperative evolution was satisfactory and the patient was discharged 8 days after the operation.

Keywords : fish spine; Meckel’s diverticulum; appendicitis.

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