An Unusual Cause of Anal Pain: A Miracle Journey of Fish Bone Down the Gut


Published: 2021-08-21

Page: 24-27

Jeyaratnam Jeyaprakasam *

Kuang Health Clinic, Jalan Kuang, Batu 20, Kuang, 48050, Selangor, Malaysia.

*Author to whom correspondence should be addressed.


Very few cases had been reported on accidental ingestion of foreign bodies especially fish bones. Herein, I report a case of acute anal pain secondary to accidental ingestion of a fish bone. A 64-year-old man presented with anal pain to our health clinic. He claimed he has eaten fish a day prior to our clinic visit. Upon examination, there was a tip of a fish bone piercing through the anal verge tissue. The fish bone was removed without any complication and patient was discharged well. A long fish bone could potentially cause harm if not detected earlier and treated accordingly. To the best of my knowledge, this is the first case reported in my health clinic.

Keywords: Anal pain, fish bone, foreign body, rectum, swallowed bone

How to Cite

Jeyaprakasam, J. (2021). An Unusual Cause of Anal Pain: A Miracle Journey of Fish Bone Down the Gut. Asian Journal of Medical Case Reports, 3(1), 24–27. Retrieved from


Download data is not yet available.


Aduful HK. Anal pain secondary to swallowed bone. Ghana Medical Journal. 2006;40(1):31.

Hassan A, Saboor MA, Haider F, Moheb M. Ingested fish bone, unusual cause of perianal sepsis. Bahrain Medical Bulletin. 2001;23(2).

Ikeda T, Konaka R, Adachi Y, Matsumoto A, Harada N, Wada T, Mitsutsuji M, Samizo M. Perianal abscess due to a long fish bone: a case report. Journal of Surgical Case Reports. 2021;2021(3): rjab084.

Lai AT, Chow TL, Lee DT, Kwok SP. Risk factors predicting the development of complications after foreign body ingestion. Journal of British Surgery. 2003;90(12): 1531-5.

Goh BK, Chow PK, Quah HM, Ong HS, Eu KW, Ooi LL, Wong WK. Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World journal of surgery. 2006; 30(3):372-7.

George R, Alex A, Prasad K. Fish Bone in Rectum: Inlet Unharmed? Journal of Case Reports. 2013;3(1):191-4.

Kim HU. Oroesophageal fish bone foreign body. Clinical endoscopy. 2016;49(4):318.

Choi DH. Acute anal pain due to ingested bone fragments. Journal of the Korean Society of Coloproctology.2008;24(1):51-7.

Batho G, Szanto L. Foreign bodies in the rectum at our department during the last ten years. Magyar sebeszet. 2000;53(4): 180-2.

Haque QM, Alharbi AE, Aljubori S, Salman F, Salem MA, Hossain M. Fish Bone Dislodged from the Throat Stuck in the Rectum: Case report. Ann Med Biomed Sci. 2017;3(1):22–4.

Henderson FF, Gaston EA. Ingested foreign body in the gastrointestinal tract. Archives of Surgery. 1938;36(1):66-95.

Arulanandam S, De SD, Kanagalingam J. A prospective study of epidemiological risk factors for ingestion of fish bones in Singapore. Singapore medical journal. 2015;56(6):329.