BACKGROUND Submucosal protuberance caused by fish bone insertion into the digestive tract has rarely been reported.These cases usually include patients with clear signs such as a history of fish intake,pain,and dyspha...BACKGROUND Submucosal protuberance caused by fish bone insertion into the digestive tract has rarely been reported.These cases usually include patients with clear signs such as a history of fish intake,pain,and dysphagia,as well as positive findings on endoscopy and imaging.Here,we report a case of a fish bone hidden in the submucosal protuberance of the gastric antrum during endoscopic submucosal dissection without preoperative obvious positive signs.CASE SUMMARY A 58-year-old woman presented with epigastric pain for the past 20 d and a submucosal protuberance.Abdominal computed tomography and endoscopic ultrasonography did not indicate the presence of a fish bone.We assumed the cause to be an ordinary submucosal eminence and performed an endoscopic submucosal dissection to confirm its essence.During the operation,a fish bone approximately 20 mm in length was found incidentally.CONCLUSION Our report could potentially prevent the oversight of embedded fish bones and associated adverse effects in patients with similar presentation.展开更多
文摘BACKGROUND Submucosal protuberance caused by fish bone insertion into the digestive tract has rarely been reported.These cases usually include patients with clear signs such as a history of fish intake,pain,and dysphagia,as well as positive findings on endoscopy and imaging.Here,we report a case of a fish bone hidden in the submucosal protuberance of the gastric antrum during endoscopic submucosal dissection without preoperative obvious positive signs.CASE SUMMARY A 58-year-old woman presented with epigastric pain for the past 20 d and a submucosal protuberance.Abdominal computed tomography and endoscopic ultrasonography did not indicate the presence of a fish bone.We assumed the cause to be an ordinary submucosal eminence and performed an endoscopic submucosal dissection to confirm its essence.During the operation,a fish bone approximately 20 mm in length was found incidentally.CONCLUSION Our report could potentially prevent the oversight of embedded fish bones and associated adverse effects in patients with similar presentation.
