Unintentional fish bone ingestion causing perforation of small intestine

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Unintentional fish bone ingestion causing perforation of small intestine Chen‑Wei Wu1 · Yen‑Wei Chiu2  Received: 9 August 2020 / Accepted: 25 September 2020 © Società Italiana di Medicina Interna (SIMI) 2020

A 34-year-old man without systemic disease visited our emergency department with presentation of epigastric pain for 2 days. The pain was constant, dull and did not radiate. He was afebrile on arrival. Physical examination showed epigastric tenderness and rebounding tenderness. Laboratory examination showed a white blood cell count of 17,900/ μL and C-reactive protein level of 39.1  mg/dL (normal range: 

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