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Gastrointestinal perforation by chicken bones.

D D Maglinte, S D Taylor, A C Ng

    Radiology
    |March 1, 1979
    PubMed
    Summary
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    Gastrointestinal perforation by chicken bones is rare but serious. Plain abdominal radiographs can aid diagnosis in patients with peritonitis or obstruction, especially with a history of alcoholism or dentures.

    Area of Science:

    • Gastroenterology
    • Surgical Pathology

    Background:

    • Intra-abdominal abscesses can arise from foreign body ingestion.
    • Chicken bone foreign bodies present a unique diagnostic challenge due to varied clinical presentations.

    Observation:

    • Four cases of gastrointestinal perforation caused by chicken bone ingestion were analyzed.
    • Clinical manifestations were highly variable, often hindering preoperative diagnosis.

    Findings:

    • Plain abdominal radiographs were diagnostic in two cases.
    • Nonspecific radiographic findings, including extraluminal gas or a mass associated with a chicken bone, are suggestive.
    • Signs of peritonitis, bowel obstruction, or pneumoperitoneum increase diagnostic suspicion.

    Implications:

    Related Experiment Videos

    • Radiographic identification of chicken bones with associated complications can facilitate timely diagnosis.
    • Patient history, including alcoholism and denture use, can be crucial in suspecting this condition.
    • Early diagnosis and surgical intervention are vital for managing chicken bone-induced gastrointestinal perforations.