Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	125984
DOI	10.4240/wjgs.125984
Country	China

Category	Surgery
Manuscript Type	Case Report
Article Title	Migrated fish bone causing ileal perforation and distal colonic impaction: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Jing Yu, Qing Teng, Min Li, Qian Wang, Lei Gong, Long Qin, Xiang-Zhi Qin, Zhen-Bing Lv, Ming-Yang Ren, Dong-Bing Zhou and Yun-Hong Tian
Funding Agency and Grant Number
Corresponding Author	Yun-Hong Tian, Chief Physician, MD, PhD, Professor, Department of General Surgery, Beijing Anzhen Nanchong Hospital of Capital Medical University & Nanchong Central Hospital, No. 97 Renmin South Road, Shunqing District, Nanchong 637000, Sichuan Province, China. drtianyunhong@126.com
Key Words	Foreign bodies; Intestinal perforation; Colonoscopy; Laparoscopy; Case report
Core Tip	A sharp foreign body that perforates the bowel may migrate distally, leaving the surgeon with a perforation but no object to retrieve. We report a fish bone that perforated the mid-ileum and migrated to the descending colon, eluding laparoscopy and intraoperative enteroscopy. A plain intraoperative radiograph relocalized the bone and enabled targeted endoscopic retrieval. The computed tomography, laparoscopy, X-ray, endoscopy framework summarizes this experience as a case-derived diagnostic cascade in which each step’s findings dictate the next; in this patient it reduced futile bowel manipulation and preserved minimally invasive management.
Citation	Yu J, Teng Q, Li M, Wang Q, Gong L, Qin L, Qin XZ, Lv ZB, Ren MY, Zhou DB, Tian YH. Migrated fish bone causing ileal perforation and distal colonic impaction: A case report. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.125984
PDF	125984-in-press.pdf

Received	2026-07-22 08:12
Peer-Review Started	2026-07-22 08:13
First Decision by Editorial Office Director
Return for Revision	2026-08-27 07:22
Revised	2026-09-03 12:29
Publication Fee Transferred	2026-09-11 01:42
Second Decision by Editor	2026-10-08 07:09
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-10-08 09:52
Articles in Press	2026-10-08 09:52
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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