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Sigmoid Perforation Secondary to Accidental Ingestion of a Chicken Bone.
Ir Med J. 2020 01 16; 113(1):12.IM

Abstract

Presentation We describe an unusual presentation of sigmoid colon perforation secondary to an ingested chicken bone. Diagnosis The patient presented with a 4 day history of abdominal pain and distension. On examination there were signs of peritonism. Inflammatory markers were raised. Computed tomography revealed a linear density projecting through the wall of the colon. Treatment The patient underwent emergency laparotomy and a Hartmann's procedure. A chicken bone was found to be the causative foreign object. Conclusion Foreign body ingestion is an uncommon cause of sigmoid perforation which may mimic more common surgical presentations such as diverticulitis.

Authors+Show Affiliations

Boland PA
Department of Surgery, Connolly Hospital Blanchardstown, Dublin 15.
Quidwai ST
Department of Radiology, Connolly Hospital Blanchardstown, Dublin 15.
Mitru R
Department of Surgery, Connolly Hospital Blanchardstown, Dublin 15.
McCarthy E
Department of Radiology, Connolly Hospital Blanchardstown, Dublin 15.
Aremu M
Department of Surgery, Connolly Hospital Blanchardstown, Dublin 15.

MeSH

Aged, 80 and overColon, SigmoidEmergenciesFemaleForeign BodiesHumansIntestinal PerforationLaparotomyTomography, X-Ray Computed

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32298562

Citation

Boland, P A., et al. "Sigmoid Perforation Secondary to Accidental Ingestion of a Chicken Bone." Irish Medical Journal, vol. 113, no. 1, 2020, p. 12.
Boland PA, Quidwai ST, Mitru R, et al. Sigmoid Perforation Secondary to Accidental Ingestion of a Chicken Bone. Ir Med J. 2020;113(1):12.
Boland, P. A., Quidwai, S. T., Mitru, R., McCarthy, E., & Aremu, M. (2020). Sigmoid Perforation Secondary to Accidental Ingestion of a Chicken Bone. Irish Medical Journal, 113(1), 12.
Boland PA, et al. Sigmoid Perforation Secondary to Accidental Ingestion of a Chicken Bone. Ir Med J. 2020 01 16;113(1):12. PubMed PMID: 32298562.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sigmoid Perforation Secondary to Accidental Ingestion of a Chicken Bone. AU - Boland,P A, AU - Quidwai,S T, AU - Mitru,R, AU - McCarthy,E, AU - Aremu,M, Y1 - 2020/01/16/ PY - 2020/4/17/entrez PY - 2020/4/17/pubmed PY - 2020/8/6/medline SP - 12 EP - 12 JF - Irish medical journal JO - Ir Med J VL - 113 IS - 1 N2 - Presentation We describe an unusual presentation of sigmoid colon perforation secondary to an ingested chicken bone. Diagnosis The patient presented with a 4 day history of abdominal pain and distension. On examination there were signs of peritonism. Inflammatory markers were raised. Computed tomography revealed a linear density projecting through the wall of the colon. Treatment The patient underwent emergency laparotomy and a Hartmann's procedure. A chicken bone was found to be the causative foreign object. Conclusion Foreign body ingestion is an uncommon cause of sigmoid perforation which may mimic more common surgical presentations such as diverticulitis. SN - 0332-3102 UR - https://www.unboundmedicine.com/medline/citation/32298562/Sigmoid_Perforation_Secondary_to_Accidental_Ingestion_of_a_Chicken_Bone_ L2 - https://medlineplus.gov/foreignbodies.html DB - PRIME DP - Unbound Medicine ER -