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Related Experiment Videos

Gastric Perforation by Ingested Rabbit Bone Fragment.

Giulio Gambaracci1, Eleonora Mecarini1, Maria Silvia Franceschini2

  • 1Department of Surgical and Biomedical Sciences, Division of Radiology 2, Perugia University, Santa Maria della Misericordia Hospital, Perugia, Italy.

Case Reports in Gastroenterology
|July 13, 2016
PubMed
Summary

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Sharp foreign bodies like rabbit bones can cause gastrointestinal perforation. This case highlights the importance of considering bone ingestion in patients with unexplained abdominal pain and fever.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Accidental ingestion of foreign bodies is common, with most passing without complication.
  • Sharp objects, such as chicken or fish bones, pose a risk for gastrointestinal perforation.
  • Perforation can present insidiously with varied symptoms, leading to diagnostic challenges.

Observation:

  • A 59-year-old woman presented with a month of vague abdominal pain and fever.
  • Computed tomography revealed a hyperdense linear foreign body near the gastric antrum with surrounding fluid and free air.
  • Laparotomy identified a 4-cm rabbit bone fragment causing gastric wall perforation.

Findings:

  • Ingested rabbit bone fragments can cause significant gastrointestinal injury, including perforation.
  • Inflammation and fluid collection were noted around the perforated gastric wall.
Keywords:
Bone fragmentForeign bodyIngestionPerforationRabbitStomach

Related Experiment Videos

  • The foreign body was identified as a rabbit bone fragment.

    • Implications:

    • Physicians should consider bone ingestion, even rare types like rabbit bones, in the differential diagnosis of gastrointestinal perforation.
    • Prompt diagnosis and surgical intervention are crucial for managing foreign body-induced perforations.
    • This case underscores the potential severity of seemingly innocuous ingested materials.