Intestinal perforation associated with chicken bone ingestion: a casese report

Authors

DOI:

https://doi.org/10.22516/25007440.1179

Keywords:

Intestinal Perforation, Peritonitis, Abdominal Pain, General Surgery, Mortality

Abstract

Introduction: Intestinal perforations caused by foreign bodies are rare, occurring in less than 20% of cases. The clinical presentation is nonspecific and can mimic other surgical pathologies, making diagnosis often intraoperative. Treatment for such cases is surgical.

Objective: To describe the case of an elderly female patient presenting with acute abdomen, where an incidental finding of a foreign body was identified through abdominal computed tomography, revealing a chicken bone that perforated an intestinal loop.

Discussion: Foreign bodies in the gastrointestinal tract often go unnoticed in many individuals as they typically do not cause symptoms. When complications arise, the symptoms are nonspecific, and the diagnosis is usually made during surgery. Therefore, thorough history-taking, a high index of suspicion in certain patients, and timely management are critical.

Conclusion: Intestinal perforation caused by foreign bodies is uncommon. Diagnostic suspicion is crucial, and surgical treatment is an important approach in managing these complications.

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Author Biographies

Juan Carlos Soto Ramírez, Fundación Cardiovascular de Colombia

Médico cirujano, intensivista y especialista en Cirugía General, Fundación Cardiovascular de Colombia. Bucaramanga, Colombia.

Gianmarco Camelo Pardo, Fundación Cardiovascular de Colombia

Medico del servicio de urgencias, estudiante de maestría en Epidemiología, Fundación Cardiovascular, Hospital Internacional de Colombia. Bucaramanga, Colombia.

Edgar Fabian Manrique Hernandez, Fundación Cardiovascular

Médico, epidemiólogo, magíster en Epidemiología, Fundación Cardiovascular, Hospital Internacional de Colombia. Bucaramanga, Colombia.

Javier Darío Cifuentes Sandoval, Fundación Cardiovascular de Colombia

Radiólogo, Fundación Cardiovascular de Colombia. Bucaramanga, Colombia.

Edgar David Gomez Gomez, Fundación Cardiovascular de Colombia

Estudiante de enfermería, técnico en radiología, Departamento de radiología, Fundación Cardiovascular de Colombia. Bucaramanga, Colombia.

References

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ASGE Standards of Practice Committee; Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73(6):1085-91. https://doi.org/10.1016/j.gie.2010.11.010

Rasheed AA, Deshpande V, Slanetz PJ. Colonic perforation by ingested chicken bone. AJR Am J Roentgenol. 2001;176(1):152. https://doi.org/10.2214/ajr.176.1.1760152

Figura 1. Tomografía de abdomen y pelvis con signos de ruptura de asa intestinal hueca con líquido libre y cambios inflamatorios en el peritoneo, presencia de imagen hiperdensa lineal en la región anexial izquierda y el colon sigmoide. Imagen cortesía del servicio de Radiología, Fundación Cardiovascular de Colombia. Bucaramanga, Colombia.

Published

2024-12-23

How to Cite

Soto Ramírez, J. C., Camelo Pardo, G., Manrique Hernandez, E. F., Cifuentes Sandoval, J. D., & Gomez Gomez, E. D. (2024). Intestinal perforation associated with chicken bone ingestion: a casese report. Revista Colombiana De Gastroenterología, 39(4), 509–513. https://doi.org/10.22516/25007440.1179

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