Publication Name	World Journal of Clinical Cases
Manuscript ID	114956
Country	Saudi Arabia

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Beyond biliary causes, fish bone perforation as a rare etiology of recurrent fever in a post-Whipple patient: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Rama Taha, Ghassan Elsayed, Lama Mohamed and Eyad Gadour
Funding Agency and Grant Number
Corresponding Author	Eyad Gadour, CCST, Consultant, FACP, FRCP, Professor, Multiorgan Transplant Centre of Excellence, Liver Transplantation Unit, King Fahad Specialist Hospital, Ammar Bin Thabit Street, Dammam 32253, Saudi Arabia. eyadgadour@doctors.org.uk
Key Words	Pancreaticoduodenectomy; Fish bone perforation; Cholangitis; Post-surgical complications; Case report
Core Tip	This case highlights the importance of considering atypical causes like gastrointestinal foreign body perforation in patients with altered postoperative anatomy presenting with recurrent fever and abdominal pain. Despite extensive workup, the cause remained elusive until deep push enteroscopy identified an embedded fish bone in the efferent jejunal limb of a post-Whipple patient. This was only possible after a thorough review of the computed tomography imaging, which showed a subtle linear hyperdensity. This case demonstrates the value of critical image review and advanced endoscopic techniques in diagnosing obscure gastrointestinal pathology in complex post-surgical patients.
Citation	Taha R, Elsayed G, Mohamed L, Gadour E. Beyond biliary causes, fish bone perforation as a rare etiology of recurrent fever in a post-Whipple patient: A case report. World J Clin Cases 2025; In press

Received	2025-10-11 03:55
Peer-Review Started	2025-10-11 03:56
First Decision by Editorial Office Director	2025-10-18 02:18
Return for Revision	2025-10-18 02:18
Revised	2025-10-30 12:43
Publication Fee Transferred	2025-11-03 08:53
Second Decision by Editor	2025-12-11 02:39
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2025-12-11 03:37
Articles in Press	2025-12-11 03:37
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2307-8960 (online)
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