Bone Causing Abdominal Groans

Pradeep Goyal, Sonali Gupta, Joshua Sapire

Research output: Contribution to journalArticlepeer-review


Gastrointestinal complications secondary to fish bone ingestion are rare, however important to recognize in timely manner to prevent morbidity and mortality. Diagnosis is often challenging in setting of non-specific and variable symptoms and lack of history of fish bone ingestion. Diagnostic imaging particularly computed tomography is crucial for diagnosis. However, emphasis should be given on identifying underlying cause of abdominal complications because fish bone is often missed unless specifically looked for. Identification of fish bone is essential for extraction of the inciting nidus. Emergency physician should be aware of this entity to identify it and triage the patients in timely manner. We describe here cases of sub-capsular liver abscess and acute cholecystitis caused by fish bone ingestion. The fish bone as a cause of these complication was initially missed in emergency.

Original languageEnglish (US)
Pages (from-to)e95-e97
JournalJournal of Emergency Medicine
Issue number3
StatePublished - Sep 2019
Externally publishedYes


  • acute cholecystitis
  • fish bone
  • liver abscess

ASJC Scopus subject areas

  • Emergency Medicine


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