Proença, ALBogalho, L2021-07-162021-07-162020-05-05Cureus. 2020 May 5;12(5):e7973.http://hdl.handle.net/10400.17/3775Unintentional ingestion of fish bones is a common but frequently unrecognized occurrence at the emergency room. Most ingested fish bones pass through the gastrointestinal tract without complications, but approximately 1% may perforate and cause acute abdomen, peritonitis and/or abscesses, requiring emergent surgery. Clinical presentation is non-specific and computed tomography is essential to confirm the diagnosis and guide the surgery. We present a case of gastric perforation by fish bone and discuss the clinical and radiological challenges in the diagnosis of this condition.engHSJ IMAEmergency RadiologyFish Bone PerforationAcute Abdomenjournal article10.7759/cureus.7973