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Colovesical fistula caused by chronic chicken bone perforation
M S Khan1, C Bryson, A O'Brien
1Department of Surgery/Urology, Craigavon Area Hospital, Northern Ireland.
Irish Journal of Medical Science
|January 1, 1996
Summary
A rare colovesical fistula, a connection between the colon and bladder, was caused by a chicken bone perforating the sigmoid colon. This is only the fifth such case documented in medical literature.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Diverticulitis is a common condition, often affecting the sigmoid colon.
- Foreign body ingestion can lead to gastrointestinal complications, though rare.
Observation:
- A patient presented with symptoms suggestive of a colovesical fistula.
- Imaging and clinical evaluation revealed a chronic perforation of the sigmoid colon.
Findings:
- The perforation was attributed to a swallowed chicken bone that had been lodged in the colon.
- The resulting condition was a colovesical fistula, a rare complication of diverticular perforation.
Implications:
- This case highlights the potential for ingested foreign objects, like chicken bones, to cause severe gastrointestinal issues.
- It underscores the importance of considering unusual etiologies in the diagnosis of colovesical fistulas.
- This report adds to the scarce literature on foreign body-induced colovesical fistulas, emphasizing its rarity.