Korean J Gastroenterol.
2001 Jul;38(1):53-56.
A Case of Intestinal Perforation by Chicken bone Presenting as an Intraabdominal Inflammatory Mass
- Affiliations
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- 1Department of Internal Medicine, Kangnam General Hospital, Public Corporation, Seoul, Korea.
- 2Department of General Surgery, Kangnam General Hospital, Public Corporation, Seoul, Korea.
Abstract
- Ingestion of foreign bodies occurs commonly in young children and emotionally disturbed individuals. Predisposing factors include decreased palatal sensitivity by dentures, excessive alcohol intake or drug use. Despite the incredible number and variety of objects, most ingested foreign bodies pass through the gastrointestinal tract, but the cases fewer than 1% result in perforation. The clinical manifestations of perforation include peritonitis, abscess, inflammatory mass, fistula, obstruction, and hemorrhage. Because most symptoms mimic the other common intraabdominal conditions, and many patients can not recall the ingested materials, preoperative diagnosis is difficult. The greastest number of perforations occur in appendix, the ileocecal region and Meckel`s diverticula. The remainders are scattered throughout the gastrointestinal tract, with a slightly higher incidence in the sigmoid colon. We present here a case of colonic perforation by an ingested chicken bone presenting as an intraabdominal inflammatory mass. The diagnosis was confirmed by laparoscopic surgery.
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