Abstract
A 62-year-old male was admitted to our hospital due to left lower abdominal pain. Three days before admission, he ate seafood in a Japanese restaurant. Two days before admission, he suffered from intermittent left lower abdominal pain. One day before admission, he developed a high fever and subsequently visited our hospital the following day. Localized tenderness and rebound pain were observed in the left lower abdomen, and C-reactive protein was elevated. Computed tomography revealed a linear high-density object in the distal portion of the small intestine accompanied by edema of the wall, suggesting penetration by something like a fishbone. On the ninth hospital day, double-balloon endoscopy was performed via the transanal route. Yellow foreign material was found in the ileum and was then successfully removed with biopsy forceps. The removed material measured 3 mm in width, 3 cm in length and was slightly curved. It proved to be a bone of the forefoot of a soft-shelled turtle, which had been included on the menu of the restaurant. The patient was completely cured and discharged on the 14th hospital day.
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Acknowledgments
We appreciate Mr. Juzo Tokoro for allowing us to use the picture of turtle bones on his website (http://tokoro-dino.at.webry.info/200712/article_1.html).
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Conflict of Interest:
Mizuho Sawada, Kenichiro Sekigawa, Hiroshi Mitsui, Katsuya Kobayashi, Masao Okubo, Hajime Yamaguchi and Naoaki Hashimoto declare that they have no conflict of interest.
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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008(5).
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Informed consent was obtained from all patients for being included in the study.
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Sawada, M., Sekigawa, K., Mitsui, H. et al. A case of penetration of the intestinal wall by a soft-shelled turtle bone successfully removed with double-balloon endoscopy. Clin J Gastroenterol 8, 264–267 (2015). https://doi.org/10.1007/s12328-015-0593-8
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DOI: https://doi.org/10.1007/s12328-015-0593-8