DOI: 10.36347/sasjs.2022.v08i05.015

Pages: 406-407

Introduction: Colonic perforation by ingestion of foreign bodies as fishbones is extremely rare. It represents a challenging emergency: the management should be quickly established to limit its morbidity. Case report: We report a case of left colonic perforation due to a fishbone. Our patient who ingested fishbone also had colonic diverticulosis. Non-surgical management was performed. The evolution was favorable and our patient recovered. Discussion: Fishbone ingestion could be related to many complications including bowel perforation. Clinical findings are various. Paraclinical examinations can be challenging due to the limits of each one (X-rays, US, and CT scans). Nonsurgical management should be considered in many cases, and surgical treatment may be delayed. The final management is still controversial. Surgical and non-surgical techniques are both described in the literature.