Intestinal perforation secondary to ingested chicken bone: case report and literature review
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By
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Danning Zhang
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Zining Chen
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Xiaolong He
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Ming Xie
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Qingbo Feng
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May 15, 2026
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Clinical Scorecard: Perforation of the Intestine Due to Ingested Chicken Bone: A Case Study and Review of Existing Literature
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | |
| Target Population | Individuals of all ages, particularly children, elderly, those with dysphagia, and psychiatric conditions. |
| Care Setting | |
Key Highlights
- Acute small bowel perforation can occur from ingested chicken bones.
- Symptoms may be non-specific and can lead to delayed diagnosis.
- Abdominal CT is crucial for identifying foreign bodies and complications.
- Laparoscopic surgery is preferred for removal and repair.
- Most foreign objects can pass through the gastrointestinal tract without intervention.
- Delayed diagnosis can occur due to non-specific symptoms.
Guideline-Based Recommendations
Diagnosis
- Utilize abdominal CT for detecting foreign bodies in the lower gastrointestinal tract.
Management
- Laparoscopic surgery is recommended for the extraction of foreign bodies.
Monitoring & Follow-up
- Monitor for symptoms such as abdominal pain, fever, or vomiting post-ingestion.
Risks
- Potential complications include pancreatitis, liver abscess, and appendicitis.
Patient & Prescribing Data
Adults with a history of foreign body ingestion, particularly chicken bones.
Early surgical intervention leads to better outcomes and recovery.
Clinical Best Practices
- Conduct thorough physical examinations and imaging for suspected perforations.
- Educate patients on the risks of ingesting sharp foreign objects.
- Implement a soft diet and monitor symptoms post-ingestion.
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