J Gastric Cancer.  2014 Sep;14(3):204-206. 10.5230/jgc.2014.14.3.204.

Gastric Pseudotumoral Lesion Caused by a Fish Bone Mimicking a Gastric Submucosal Tumor

• Kim SW
• Kim SW
• Song SK

• KMID: 2372532
• DOI: http://doi.org/10.5230/jgc.2014.14.3.204

Abstract

Gastric complications following unintentional foreign body ingestion are extremely rare. Here, we report the case of a 59-year-old healthy woman who presented with nonspecific abdominal pain and an apparent gastric submucosal tumor that was incidentally detected by gastrofiberscopy. The patient underwent laparoscopic surgery, which revealed an intact gastric wall with no tumor invasion, deformity, or evidence of a gastric submucosal lesion. However, an impacted fish bone was found.

Keyword

Stomach neoplasms; Fish bone; Submucosal tumor

MeSH Terms

Abdominal Pain
Congenital Abnormalities
Eating
Female
Foreign Bodies
Humans
Laparoscopy
Middle Aged
Stomach Neoplasms

Figure

• 

  Fig. 1 Gastroscopic examination reveals a bulging mucosa on the posterior wall of the gastric antrum.

• 

  Fig. 2 Computed tomography reveals a well-defined heterogeneous enhancing mass, approximately 3 cm in size, on the posterior wall of the gastric antrum (arrows).

• 

  Fig. 3 The foreign body found protruding from the stomach is a 2.5×0.2-cm fish bone.

Reference

1. Paul RI, Christoffel KK, Binns HJ, Jaffe DM. Pediatric Practice Research Group. Foreign body ingestions in children: risk of complication varies with site of initial health care contact. Pediatrics. 1993; 91:121–127.

2. Hashmonai M, Kaufman T, Schramek A. Silent perforations of the stomach and duodenum by needles. Arch Surg. 1978; 113:1406–1409.

3. Sung SH, Jeon SW, Son HS, Kim SK, Jung MK, Cho CM, et al. Factors predictive of risk for complications in patients with oesophageal foreign bodies. Dig Liver Dis. 2011; 43:632–635.

4. Chiu YH, Hou SK, Chen SC, How CK, Lam C, Kao WF, et al. Diagnosis and endoscopic management of upper gastrointestinal foreign bodies. Am J Med Sci. 2012; 343:192–195.

5. Peng A, Li Y, Xiao Z, Wu W. Study of clinical treatment of esophageal foreign body-induced esophageal perforation with lethal complications. Eur Arch Otorhinolaryngol. 2012; 269:2027–2036.

6. Yilmaz M, Akbulut S, Ozdemir F, Gozeneli O, Baskiran A, Yilmaz S. A swallowed dental prosthesis causing duodenal obstruction in a patient with schizophrenia: description of a new technique. Int J Surg Case Rep. 2012; 3:308–310.

7. Goh BK, Jeyaraj PR, Chan HS, Ong HS, Agasthian T, Chang KT, et al. A case of fish bone perforation of the stomach mimicking a locally advanced pancreatic carcinoma. Dig Dis Sci. 2004; 49:1935–1937.

8. Chintamani , Singhal V, Lubhana P, Durkhere R, Bhandari S. Liver abscess secondary to a broken needle migration--a case report. BMC Surg. 2003; 3:8.

9. Goh BK, Tan YM, Lin SE, Chow PK, Cheah FK, Ooi LL, et al. CT in the preoperative diagnosis of fish bone perforation of the gastrointestinal tract. AJR Am J Roentgenol. 2006; 187:710–714.

10. Ngan JH, Fok PJ, Lai EC, Branicki FJ, Wong J. A prospective study on fish bone ingestion. Experience of 358 patients. Ann Surg. 1990; 211:459–462.