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Acute abdomen caused by ingested chicken wishbone: a case report
Faton T Hoxha1, Shemsedin I Hashani, Driton S Komoni
1Department of Abdominal Surgery, University Clinical Centre of Kosova, Prishtina, Republic of Kosovo. dr_krasniqi2001@yahoo.com.
Cases Journal
|January 21, 2009
Summary
Ingesting chicken bones can rarely cause gastrointestinal perforation, leading to acute abdomen. Surgical intervention, including ileum resection and ileostomy, is necessary for treatment.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Ingested foreign bodies typically pass through the gastrointestinal (GI) tract without complications.
- However, certain objects like chicken bones can lead to serious complications such as GI perforation.
Purpose of the Study:
- To report a rare case of ileum perforation caused by accidental ingestion of a chicken wishbone.
- To highlight the importance of considering chicken bone ingestion in the differential diagnosis of acute abdomen.
Main Methods:
- Presentation of a case study involving a 50-year-old male with acute abdomen.
- Surgical management included ileum resection and temporary ileostomy, followed by a second operation to restore intestinal continuity.
Main Results:
- The patient presented with diffuse fibro purulent peritonitis secondary to ileum perforation.
- Successful surgical treatment and restoration of intestinal continuity were achieved in two stages.
Conclusions:
- Intestinal perforation by chicken bones is an uncommon event, often affecting the distal ileum or left colon.
- Preoperative awareness and detection of chicken bone ingestion are crucial for diagnosing acute abdominal cases.
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