A 61 year-old man with epigastric pain last month.
Ultrasound detected accidentally a # 26 mm fishbone which perforated his stomach. On transverse section the fishbone looked like a gastric ulcer. Lab data were in normal values.
MSCT confirmed a fishbone perforating the stomach with the free end into the abdominal cavity.
Endoscopic surgery removed the fishbone from the pyloric wall of the stomach to the peritoneum.
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