{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:38:43Z","timestamp":1787027923958,"version":"build-2736575974"},"reference-count":13,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T00:00:00Z","timestamp":1669766400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>The incidental ingestion of fish bone is common, and the ingested fish bone mostly exits the gastrointestinal tract spontaneously. However, severe complications such as perforation in the digestive tract and abscess formation after a period of time may occasionally occur. Fewer than 10 cases of a migrated fish bone penetrating into the pancreas have been reported in the literature, and the development of a subsequent pancreatic abscess is extremely rare. We present one such rare case of pancreatic abscess formation in a middle-aged woman due to fish bone penetration through the gastric wall into the pancreas 2 months after ingestion and missed on endoscopy initially. Further imaging revealed that the fish bone was partially embedded in the pancreatic head surrounded with abscesses and was smoothly removed through laparoscopy.<\/jats:p>","DOI":"10.3390\/diagnostics12122999","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T08:46:41Z","timestamp":1669798001000},"page":"2999","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario"],"prefix":"10.3390","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6976-6982","authenticated-orcid":false,"given":"Yu-Jie","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Radiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235041, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying-Ying","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 116079, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7044-1835","authenticated-orcid":false,"given":"Yi-Chien","family":"Hsieh","sequence":"additional","affiliation":[{"name":"Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taipei 116079, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1007\/s10620-005-2712-8","article-title":"Pancreatic and hepatic abscess secondary to fish bone perforation of the duodenum","volume":"50","author":"Goh","year":"2005","journal-title":"Dig. Dis. Sci."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e29399","DOI":"10.1097\/MD.0000000000029399","article-title":"Can the patient pinpoint where the ingested fish bone is impacted?: A single-center, retrospective study","volume":"101","author":"Oh","year":"2022","journal-title":"Medicine"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"rjac026","DOI":"10.1093\/jscr\/rjac026","article-title":"Liver abscess secondary to fishbone ingestion: Case report and review of the literature","volume":"2022","author":"Grayson","year":"2022","journal-title":"J. Surg. Case Rep."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1093\/qjmed\/hcs166","article-title":"Pre-operative diagnosis of pancreatic abscess from a penetrating fish bone","volume":"106","author":"Huang","year":"2013","journal-title":"QJM"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"878","DOI":"10.15537\/smj.2015.7.11779","article-title":"Large hepatic abscess caused by fish bone","volume":"36","author":"Venkatesh","year":"2015","journal-title":"Saudi Med. J."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1186\/s40792-021-01174-y","article-title":"Successful laparoscopic treatment for sustained abdominal pain due to fish bone migrating into the neck of the pancreas: A case report and thinking about surgical approach through the literature review","volume":"7","author":"Wang","year":"2021","journal-title":"Surg. Case Rep."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"1935","DOI":"10.1007\/s10620-004-9595-y","article-title":"A case of fish bone perforation of the stomach mimicking a locally advanced pancreatic carcinoma","volume":"49","author":"Goh","year":"2004","journal-title":"Dig. Dis. Sci."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"e16835","DOI":"10.1097\/MD.0000000000016835","article-title":"Liver abscess caused by ingestion of fishbone: A case report","volume":"98","author":"Li","year":"2019","journal-title":"Medicine"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1865","DOI":"10.1053\/j.gastro.2008.10.067","article-title":"Clinical challenges and images in GI. Pancreatic abscess resulting from a fish bone penetration of the stomach","volume":"135","author":"Wang","year":"2008","journal-title":"Gastroenterology"},{"key":"ref_10","first-page":"308510","article-title":"Ingested fish bone: An unusual mechanism of duodenal perforation and pancreatic trauma","volume":"2012","author":"Symeonidis","year":"2012","journal-title":"Case Rep. Gastrointest. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1186\/s40792-018-0559-4","article-title":"Laparoscopic removal of an ingested fish bone that penetrated the stomach and was embedded in the pancreas: A case report","volume":"4","author":"Mima","year":"2018","journal-title":"Surg. Case Rep."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1159\/000489720","article-title":"Fish Bone Penetrating into the Head of Pancreas in a Patient with Billroth II Gastrojejunostomy","volume":"26","author":"Attila","year":"2019","journal-title":"GE Port. J. Gastroenterol."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1833","DOI":"10.1002\/ccr3.3822","article-title":"Laparoscopic removal of a fishbone migrating from the gastrointestinal tract to the pancreas","volume":"9","author":"Mulita","year":"2021","journal-title":"Clin. Case Rep."}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/12\/2999\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:30:34Z","timestamp":1760146234000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/12\/12\/2999"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,30]]},"references-count":13,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["diagnostics12122999"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics12122999","relation":{},"ISSN":["2075-4418"],"issn-type":[{"value":"2075-4418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,30]]}}}