Case Report: Fish bone-induced duodenal perforation leading to bile duct stones and portal vein thrombosis

We present a case of duodenal perforation caused by accidental ingestion of a fishbone, presenting with right upper abdominal pain and jaundice. Imaging studies revealed duodenal perforation, common bile duct stones, and portal vein thrombosis. By reviewing the patient’s clinical presentation, diagn...

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Main Authors: Yuyi Shi, Xiliang Xu, Yuxu Wang, Wenhao Qu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1546707/full
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author Yuyi Shi
Xiliang Xu
Yuxu Wang
Wenhao Qu
author_facet Yuyi Shi
Xiliang Xu
Yuxu Wang
Wenhao Qu
author_sort Yuyi Shi
collection DOAJ
description We present a case of duodenal perforation caused by accidental ingestion of a fishbone, presenting with right upper abdominal pain and jaundice. Imaging studies revealed duodenal perforation, common bile duct stones, and portal vein thrombosis. By reviewing the patient’s clinical presentation, diagnostic process, treatment measures, and prognosis, we analyzed the potential mechanisms underlying this complex pathological condition and proposed appropriate clinical management strategies. Duodenal perforation caused by foreign bodies is a rare but potentially fatal condition that may lead to severe complications. Foreign body-induced duodenal and bile duct perforation can act as potential triggers for common bile duct stones and portal vein thrombosis. Its intricate pathophysiology requires heightened vigilance and comprehensive evaluation. Prompt diagnosis and individualized treatment strategies are critical for improving patient outcomes.
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institution Kabale University
issn 2296-858X
language English
publishDate 2025-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Medicine
spelling doaj-art-6b15fd778d434da2b7969aeb5ee6644e2025-08-20T03:44:33ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-04-011210.3389/fmed.2025.15467071546707Case Report: Fish bone-induced duodenal perforation leading to bile duct stones and portal vein thrombosisYuyi ShiXiliang XuYuxu WangWenhao QuWe present a case of duodenal perforation caused by accidental ingestion of a fishbone, presenting with right upper abdominal pain and jaundice. Imaging studies revealed duodenal perforation, common bile duct stones, and portal vein thrombosis. By reviewing the patient’s clinical presentation, diagnostic process, treatment measures, and prognosis, we analyzed the potential mechanisms underlying this complex pathological condition and proposed appropriate clinical management strategies. Duodenal perforation caused by foreign bodies is a rare but potentially fatal condition that may lead to severe complications. Foreign body-induced duodenal and bile duct perforation can act as potential triggers for common bile duct stones and portal vein thrombosis. Its intricate pathophysiology requires heightened vigilance and comprehensive evaluation. Prompt diagnosis and individualized treatment strategies are critical for improving patient outcomes.https://www.frontiersin.org/articles/10.3389/fmed.2025.1546707/fullduodenal foreign bodyperforationcommon bile duct stonesportal vein thrombosisinfection
spellingShingle Yuyi Shi
Xiliang Xu
Yuxu Wang
Wenhao Qu
Case Report: Fish bone-induced duodenal perforation leading to bile duct stones and portal vein thrombosis
Frontiers in Medicine
duodenal foreign body
perforation
common bile duct stones
portal vein thrombosis
infection
title Case Report: Fish bone-induced duodenal perforation leading to bile duct stones and portal vein thrombosis
title_full Case Report: Fish bone-induced duodenal perforation leading to bile duct stones and portal vein thrombosis
title_fullStr Case Report: Fish bone-induced duodenal perforation leading to bile duct stones and portal vein thrombosis
title_full_unstemmed Case Report: Fish bone-induced duodenal perforation leading to bile duct stones and portal vein thrombosis
title_short Case Report: Fish bone-induced duodenal perforation leading to bile duct stones and portal vein thrombosis
title_sort case report fish bone induced duodenal perforation leading to bile duct stones and portal vein thrombosis
topic duodenal foreign body
perforation
common bile duct stones
portal vein thrombosis
infection
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1546707/full
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AT xiliangxu casereportfishboneinducedduodenalperforationleadingtobileductstonesandportalveinthrombosis
AT yuxuwang casereportfishboneinducedduodenalperforationleadingtobileductstonesandportalveinthrombosis
AT wenhaoqu casereportfishboneinducedduodenalperforationleadingtobileductstonesandportalveinthrombosis