{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T20:47:50Z","timestamp":1782506870184,"version":"3.54.5"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100020084","name":"Guangzhou Municipal Science and Technology Bureau","doi-asserted-by":"publisher","award":["2024A03J0673"],"award-info":[{"award-number":["2024A03J0673"]}],"id":[{"id":"10.13039\/501100020084","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Fish bone ingestion is common, but fish bone-induced gastric perforation is rare. Preoperative computed tomography (CT) may suggest fish bone-related lesions, although no foreign body may be identified intraoperatively in some cases. This report describes three patients with acute epigastric pain following recent fish consumption. CT showed gastric antral wall thickening and linear hyperdense shadows. All patients underwent emergency laparoscopic surgery, with two requiring conversion to open surgery. A fish bone was identified in one case, but no foreign body was identified in the other two cases. All patients underwent perforation repair, irrigation, and drainage, and no postoperative complications occurred. This case series highlights the importance of considering fish bone-induced gastric perforation in patients with acute epigastric pain and a recent history of fish consumption, emphasizing the diagnostic value of preoperative CT.<\/jats:p>","DOI":"10.1093\/jscr\/rjag533","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T12:30:13Z","timestamp":1781613013000},"source":"Crossref","is-referenced-by-count":0,"title":["CT highly suspected fish bone-induced gastric perforation, but no foreign body was identified intraoperatively: a report of three cases"],"prefix":"10.1093","volume":"2026","author":[{"given":"Liansheng","family":"Mai","sequence":"first","affiliation":[{"name":"Gastro-anorectal Surgery Department, Guangzhou Red Cross Hospital of Jinan University , No. 396, Tongfu Zhong Road, Haizhu District, Guangzhou 510220 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiguang","family":"Zhong","sequence":"additional","affiliation":[{"name":"Gastro-anorectal Surgery Department, Guangzhou Red Cross Hospital of Jinan University , No. 396, Tongfu Zhong Road, Haizhu District, Guangzhou 510220 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanshuo","family":"Zhang","sequence":"additional","affiliation":[{"name":"Gastro-anorectal Surgery Department, Guangzhou Red Cross Hospital of Jinan University , No. 396, Tongfu Zhong Road, Haizhu District, Guangzhou 510220 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tang","family":"Chenyao","sequence":"additional","affiliation":[{"name":"Gastro-anorectal Surgery Department, Guangzhou Red Cross Hospital of Jinan University , No. 396, Tongfu Zhong Road, Haizhu District, Guangzhou 510220 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaojie","family":"Liu","sequence":"additional","affiliation":[{"name":"Gastro-anorectal Surgery Department, Guangzhou Red Cross Hospital of Jinan University , No. 396, Tongfu Zhong Road, Haizhu District, Guangzhou 510220 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"2026062616105840100_ref1","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1097\/JCMA.0000000000000010","article-title":"Retrospective analysis of endoscopic management of foreign bodies in the upper gastrointestinal tract of adults","volume":"82","author":"Lee","year":"2019","journal-title":"J Chin Med Assoc"},{"key":"2026062616105840100_ref2","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1055\/s-0042-100456","article-title":"Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline","volume":"48","author":"Birk","year":"2016","journal-title":"Endoscopy"},{"key":"2026062616105840100_ref3","doi-asserted-by":"publisher","first-page":"710","DOI":"10.2214\/AJR.05.0178","article-title":"CT in the preoperative diagnosis of fish bone perforation of the gastrointestinal tract","volume":"187","author":"Goh","year":"2006","journal-title":"AJR Am J Roentgenol"},{"key":"2026062616105840100_ref4","doi-asserted-by":"publisher","first-page":"6447","DOI":"10.3748\/wjg.v19.i38.6447","article-title":"Emergency admissions due to swallowed foreign bodies in adults","volume":"19","author":"Erbil","year":"2013","journal-title":"World J Gastroenterol"},{"key":"2026062616105840100_ref5","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.ijscr.2015.06.034","article-title":"Diagnostic dilemmas due to fish bone ingestion: case report & literature review","volume":"13","author":"Beecher","year":"2015","journal-title":"Int J Surg Case Rep"},{"key":"2026062616105840100_ref6","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1016\/j.rx.2020.01.003","article-title":"Gastrointestinal perforation caused by ingested fish bone. 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