Related Experiment Video
Updated: May 7, 2026

A Ligated Intestinal Loop Model in Anesthetized Specific Pathogen Free Chickens to Study Clostridium Perfringens Virulence
Published on: October 11, 2018
Chicken or the leg: Sigmoid colon perforation by ingested poultry fibula proximal to an occult malignancy
J D Terrace1, J Samuel, J H Robertson
1Colorectal Unit, Western General Hospital, Crewe Road South, Edinburgh EH4 2XU, United Kingdom.
Introduction:
Colonic perforation by ingested foreign bodies is exceedingly rare, with the diagnosis made more challenging by patients infrequently recalling any inadvertent ingestion and the poor sensitivity of plain radiography.
Presentation Of Case:
The presented case demonstrates that bony perforation of the large bowel might occur immediately proximal to an otherwise occult colonic malignancy.
Discussion:
Ingestion of foreign bodies is common and rarely results in colonic perforation. However, bony ingestion is not usually remembered and can be missed even with cross-sectional imaging. If present, consideration should be given to the presence of an adjacent concealed colon cancer.
Conclusion:
The co-existence of separate pathology should be carefully assessed in these patients, since this has important implications for relevant investigations and appropriate surgical management.
Related Concept Videos
Diverticular Disease of the Colon
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Appendicitis
Intestinal Obstruction I: Introduction
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...