CASE 265: FISH BONE IN GALLBLADDER: Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Man 49 yo, pain in RUQ one week ago like gastric ulcer.

Ultrasound of  abdomen suggested gastric cancer  invasive to gallbladder and liver.

Gastroscopy and biopsy ruled out gastric cancer.

MSCT with CE detected  abscess due to perforated fundus of gallbladder and one  foreign body like a fish bone, 3cm in length,  intra gallbladder (see 3 CT pictures).

Ultrasound of  abdomen again for verify diagnosis also made same  information which was  abscess due to fish bone penetrating through gallbladder wall to liver border.

(see 2 ultrasound images and video clip).

Blood tests were normal.

Operation laparotomy removed abscess and gallbladder necrosis with fish bone inside abscess (see 3 photo).

REFERENCE: Case Report