Introduction: Fishbone penetrating from the stomach into the spleen, causing a splenic abscess, is an extremely rare condition.
Case Presentation: We report a case of fishbone penetration from the stomach into the spleen, presenting as a splenic abscess and acute peritonitis, diagnosed pre-operatively with a contrast-enhanced CT scan of the abdomen and subsequently managed with spleen-preserving surgery.
Discussion: Fishbone penetration from the stomach into the spleen, causing a splenic abscess, which is an extremely rare occurrence.