CASE 544: GASTRIC PERFORATION DUE TO FISHBONE, Dr PHAN THANH HAI, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

MAN 53 YO WITH EPIGASTRIC PAIN HAS BEEN  TREATED AS GASTRITIS BUT NO RESPONSE.

ULTRASOUND OF ABDOMEN  DETECTED ONE ECHOGENIC BODY AT ANTRUM. 

US1/US 2 LOOK LIKE  FOREIGN BODY.

MSCT of ABDOMEN  ALSO  DETECTED  FB(  FORGEINE BODY )  3 CM  AT ANTRUM  

CT 1 /CT2 :SAGITTAL  SHOW THAT PENETRATING THE WALL ofANTRUM TO PANCREAS.

CT3  3D VIEW.

EMERGENCY GASTROENDOSCOPY  REMOVE ONE FISHBONE 3 CM.

Nota= VUD published 18 cases of fishbone ingestion, including 4 cases of perforation of stomach that were removed endoscopically 2 cases.