Fish bones are the most common foreign bodies ingested accidentally during adulthood. These ingested foreign bodies are associated with the highest risk of gastrointestinal perforation, especially when their ends are thin and sharp. In addition to a nonspecific clinical presentation, most patients do not recall the fish bone ingestion, making the diagnosis more difficult due to the delay between ingestion and the appearance of abscess related symptomatology.
Several hepatobiliary complications secondary to gastrointestinal perforation after ingestion of a fish bone have been described in the literature, the most common being liver abscess.
