Colonic Fishbone-Induced Perforation Involving a Penile Colorectal Carcinoma: A Case Report

Introduction: Fishbone (FB) ingestion is a rare cause of gastrointestinal perforation. Herein, we report a case of FB-induced colonic perforation, in which the presence of a penile colonic carcinoma may have contributed to the development of the perforation. Case Presentation: An 83-year-old man was...

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Main Authors: Akira Imoto, Yuki Nagata, Yoshinori Shinohara, Hirota Miyazaki, Masanobu Fukumoto, Hidehiro Kitae, Masateru Asada, Masashi Noda, Kaoru Okada, Akira Asai, Kazuhide Higuchi, Hiroki Nishikawa
Format: Article
Language:English
Published: Karger Publishers 2024-09-01
Series:Case Reports in Gastroenterology
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Online Access:https://beta.karger.com/Article/FullText/541081
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author Akira Imoto
Yuki Nagata
Yoshinori Shinohara
Hirota Miyazaki
Masanobu Fukumoto
Hidehiro Kitae
Masateru Asada
Masashi Noda
Kaoru Okada
Akira Asai
Kazuhide Higuchi
Hiroki Nishikawa
author_facet Akira Imoto
Yuki Nagata
Yoshinori Shinohara
Hirota Miyazaki
Masanobu Fukumoto
Hidehiro Kitae
Masateru Asada
Masashi Noda
Kaoru Okada
Akira Asai
Kazuhide Higuchi
Hiroki Nishikawa
author_sort Akira Imoto
collection DOAJ
description Introduction: Fishbone (FB) ingestion is a rare cause of gastrointestinal perforation. Herein, we report a case of FB-induced colonic perforation, in which the presence of a penile colonic carcinoma may have contributed to the development of the perforation. Case Presentation: An 83-year-old man was admitted to our hospital with severe abdominal pain during bowel movement. Computed tomography (CT) yielded a diagnosis of sigmoid colonic perforation due to FB and secondary peritonitis. Preoperative endoscopic examination suggested that the perforation was associated with a stalked colon tumor in the vicinity. After undergoing low anterior resection and sigmoid colostomy, the patient is currently doing well. Conclusion: The incidence of FB-induced colorectal-cancer-related perforation is expected to increase in the future owing to an aging society, the increase in the rates of colorectal cancer, and increase in fish consumption. This rare case suggests that preoperative examinations are important and that even relatively small polyps can contribute to gastrointestinal perforation caused by FBs. Older individuals should exercise caution during fish ingestion.
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issn 1662-0631
language English
publishDate 2024-09-01
publisher Karger Publishers
record_format Article
series Case Reports in Gastroenterology
spelling doaj-art-df7f6f1e86ad467ab29508e1f282f55d2025-08-20T02:16:55ZengKarger PublishersCase Reports in Gastroenterology1662-06312024-09-0118143143810.1159/000541081541081Colonic Fishbone-Induced Perforation Involving a Penile Colorectal Carcinoma: A Case ReportAkira Imoto0Yuki Nagata1Yoshinori Shinohara2Hirota Miyazaki3Masanobu Fukumoto4Hidehiro Kitae5Masateru Asada6Masashi Noda7Kaoru Okada8Akira Asai9Kazuhide Higuchi10Hiroki Nishikawa11Department of Internal Medicine, Aoyama Hospital, Fujiidera, JapanDepartment of Surgery, Aoyama Hospital, Fujiidera, JapanDepartment of Internal Medicine, Aoyama Hospital, Fujiidera, JapanDepartment of Internal Medicine, Aoyama Hospital, Fujiidera, JapanDepartment of Internal Medicine, Aoyama Hospital, Fujiidera, JapanDepartment of Internal Medicine, Aoyama Hospital, Fujiidera, JapanDepartment of Surgery, Aoyama Hospital, Fujiidera, JapanDepartment of Surgery, Aoyama Hospital, Fujiidera, JapanDepartment of Surgery, Aoyama Hospital, Fujiidera, JapanSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, JapanDepartment of Internal Medicine, Aoyama Hospital, Fujiidera, JapanSecond Department of Internal Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, JapanIntroduction: Fishbone (FB) ingestion is a rare cause of gastrointestinal perforation. Herein, we report a case of FB-induced colonic perforation, in which the presence of a penile colonic carcinoma may have contributed to the development of the perforation. Case Presentation: An 83-year-old man was admitted to our hospital with severe abdominal pain during bowel movement. Computed tomography (CT) yielded a diagnosis of sigmoid colonic perforation due to FB and secondary peritonitis. Preoperative endoscopic examination suggested that the perforation was associated with a stalked colon tumor in the vicinity. After undergoing low anterior resection and sigmoid colostomy, the patient is currently doing well. Conclusion: The incidence of FB-induced colorectal-cancer-related perforation is expected to increase in the future owing to an aging society, the increase in the rates of colorectal cancer, and increase in fish consumption. This rare case suggests that preoperative examinations are important and that even relatively small polyps can contribute to gastrointestinal perforation caused by FBs. Older individuals should exercise caution during fish ingestion.https://beta.karger.com/Article/FullText/541081fishboneperforationcolorectal carcinomapenile polyp
spellingShingle Akira Imoto
Yuki Nagata
Yoshinori Shinohara
Hirota Miyazaki
Masanobu Fukumoto
Hidehiro Kitae
Masateru Asada
Masashi Noda
Kaoru Okada
Akira Asai
Kazuhide Higuchi
Hiroki Nishikawa
Colonic Fishbone-Induced Perforation Involving a Penile Colorectal Carcinoma: A Case Report
Case Reports in Gastroenterology
fishbone
perforation
colorectal carcinoma
penile polyp
title Colonic Fishbone-Induced Perforation Involving a Penile Colorectal Carcinoma: A Case Report
title_full Colonic Fishbone-Induced Perforation Involving a Penile Colorectal Carcinoma: A Case Report
title_fullStr Colonic Fishbone-Induced Perforation Involving a Penile Colorectal Carcinoma: A Case Report
title_full_unstemmed Colonic Fishbone-Induced Perforation Involving a Penile Colorectal Carcinoma: A Case Report
title_short Colonic Fishbone-Induced Perforation Involving a Penile Colorectal Carcinoma: A Case Report
title_sort colonic fishbone induced perforation involving a penile colorectal carcinoma a case report
topic fishbone
perforation
colorectal carcinoma
penile polyp
url https://beta.karger.com/Article/FullText/541081
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