DOI: 10.25881/20728255_2025_20_3_158

Authors

Semionkin E.I.1, Ogorelcev A.Yu.1, Lukanin R.V.2, Serebryanskii P.V.2, Vedischev V.V.2

1 Ryzan State Medical University, Ryazan

2 Ryazan State Clinical Hospital, Ryazan

Abstract

There is demonstrated the clinical monitoring of the successful treatment of the 46-year-old patient ingested a small sharp fish bone of the rectum, complicated with the progressive perineum abscess, that required a multistage treatment- opening the abscess, wound necroectomy, sigmoid colostomy formation in connection with the progressing of purulent process, followed by sigmoid colostomy closure in a planned manner after 4 months.

Keywords: foreign body, swallowed fish bone, rectal injury, purulent paraproctitis multistage surgical treatment.

References

1. Ambe P, Weber SA, Schauer M, et al. Swallowed foreign bodies in adults. Dtsch Arztebl Int. 2012; 109: 869-875.

2. Sugawa C, Ono H, Taleb M, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review. World J Gastrointest Endosc. 2014; 6: 475-481.

3. Davidov MI, Lebedev AS, Subbotin VM, et al. Inorodnye tela cherveobraznogo otrostka i slepoj kishki, oslozhnennye ostrym appendicitom. Hirurgiya. 2005; 9: 25-30. (In Russ.)

4. Ionov DV, Tumanyan GT, Lisyuk IP. Redkie inorodnye tela zheludochno-kishechnogo takta. Endoskopicheskaya hirurgiya. 2011; 17(3): 51-53. (In Russ.)

5. Klinicheskie rekomendacii RF 2024 (Rossiya). Kategoriya MKB: Inorodnoe telo v pischevaritelnom trakte (T 18). Odobreno Nauchno-prakticheskim Sovetom Minzdrava RF. (In Russ.)

6. Hubezov DA, Trushin SN, Puchkov KV, et al. Taktika lechenij pacientov s inorodnymi telami pryamoj kishki. Hirurgiya. ZHurnal im.N.I. Pirogova. 2016; 9: 57-63. (In Russ.)

7. Arana A, Hauser B, Hachimi-Idrissi, Vandenplas Y. Management of ingested foreign bodies in childchood and review of the literature. Eur J Pediatr. 2001; 160(8): 468-472.

8. Rodrigues de Lima R, Tazima L, Geraldo J. Intestinal perforation by an ingested foreign body. Radiol Bras. 2016; 49(5): 295-299.

9. Pulat H, Karakose O, Benzin MF, Benzin S, Cetin R. Small bowel perforation due to fish bone: A case report. Turk J Emerg Med. 2015; 15(3): 136-138.

For citation

Semionkin E.I., Ogorelcev A.Yu., Lukanin R.V., Serebryanskii P.V., Vedischev V.V. Multistage surgical treatment in a patient with an ingested tish bone. Bulletin of Pirogov National Medical & Surgical Center. 2025;20(3):158-159. (In Russ.) https://doi.org/10.25881/20728255_2025_20_3_158