Appendicitis-mimicking presentation in fishbone induced microperforation of the distal duodenum: A case report

Figure 1 Computed tomography abdomen and pelvic with contrast showing distended tubular structure (demonstrated by the arrow) that was presumed to be the appendix.

Figure 2 Axial and coronal views of prominent fat stranding in the right lower quadrant (arrows).

Figure 3 Computed tomography scan showing identified fishbone in the third segment of the duodenum measuring 1. 4 cm long with associated air within the retroperitoneal space (arrow a). Local abscess was noted (arrow b). Area of gas out with the GI tract (arrow c).

Figure 4 Serial chest radiographs showed acute consolidation and rapid resolution in his right lobe during the span of his inpatient stay. View from top left to bottom right. POD: Post-operative day.