Abstract

APARICIO SANCHEZ, Jorge Abel; FERNANDEZ GONZALEZ, Roberto  and  LORENZO JUVIER, Miguel Alejandro. Rectal perforation caused by a fish bone. Medicentro Electrónica [online]. 2021, vol.25, n.3, pp.513-521.  Epub July 01, 2021. ISSN 1029-3043.

Foreign body ingestion (mostly fish bones and chicken bones) during feeding is common. In most cases, it occurs accidentally, inadvertently, usually silently, in people who are alcoholics, mentally ill, or who wear dental prostheses. They generally pass through the digestive tract without causing damage, and are expelled about seven days after ingestion. On the other hand, in some patients it can cause occlusion or perforation of the digestive tract. The ileocecal and rectosigmoid regions are the most affected areas, due to their angulation. We present a 54-year-old male patient, a habitual drinker and smoker, with a rectal perforation caused by a fish bone, which was inadvertently ingested days before. A decompressing transversostomy was performed; later he developed Fornier's gangrene in the genital region, and a necrosectomy and right orchiectomy were performed.

Keywords : intestinal perforation/complications; Foreign bodies/etiology; Fournier gangrene; orchiectomy.

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