A 58 year-old infected HBV man with RLQ pain for 5 days.
Ultrasound detected edema of the last part of jejunum maybe due to inflamation. It existed edema of pelvic peritoneum beside the appendix.
MSCT represented an inflamed appendix and foreign body as fish bone # 30mm which perforated the appendiceal wall.
Endoscopic surgery confirmed a fish bone and removed the inflamed appendix.
Result of histopathological specimen was an acute necrotized appendicitis.
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