debate & controversy. In spite of portfolio of investigation in this new millennium, clinical evaluation remains gold standard, but on opening

Pandora‘s box surgical surprises are inevitable. Fish bones are amongst the commonest foreign bodies in the upper aero digestive tract but

perforation or penetration of intestinal tract is very rare. This case report describes fish bone penetration of terminal ileum. The case was diagnosed

as acute appendicitis, as pre operative diagnosis is usually difficult because ingestion is usually accidental and history is inconclusive.