Clinical Report: Perforation of the Intestine Due to Ingested Chicken Bone

Overview

This report details a case of small bowel perforation in a 28-year-old male due to an ingested chicken bone. The patient underwent successful laparoscopic surgery after a delay in diagnosis, highlighting the challenges in identifying such cases.

Background

Ingestion of foreign bodies is a common occurrence, particularly among children and the elderly. While most objects pass through the gastrointestinal tract without complications, sharp and rigid items like chicken bones can cause serious injuries such as perforation. Early diagnosis and intervention are crucial to prevent severe complications.

Data Highlights

No numerical data or trial data presented in the article.

Key Findings

• Acute small bowel perforation can occur due to ingestion of chicken bones.
• Symptoms may be non-specific, leading to delayed diagnosis.
• Abdominal CT is essential for identifying foreign bodies and associated complications.
• Laparoscopic surgery is the preferred treatment method due to its advantages in recovery and reduced trauma.
• Endoscopic retrieval is limited for foreign bodies in the lower gastrointestinal tract.

Clinical Implications

Healthcare professionals should maintain a high index of suspicion for foreign body ingestion in patients presenting with unexplained abdominal pain. Prompt imaging and surgical intervention can significantly improve outcomes in cases of perforation.

Conclusion

This case underscores the importance of timely diagnosis and intervention in cases of intestinal perforation due to ingested foreign bodies. Laparoscopic techniques offer effective management options with favorable recovery profiles.

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10. Foreign body ingestion in adults: a retrospective cohort study of clinical characteristics and Endoscopic outcomes | BMC Gastroenterology | Springer Nature Link