Impacted chicken bone of the sigmoid colon: Endoscopic removal with balloon dilatation

Jeen, Yoon-Tae; Chun, Hye Jin; Song, Chi-Wook; Um, Soon-Ho; Kim, Chang-Duk; Ryu, Ho Sang; Hyun, Jin-Hai

doi:10.1067/mge.2000.108624

Cited by 2 publications

(2 citation statements)

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“…9,13 Up till now, there are no guidelines regarding the implementation of colonoscopy due to the foreign body in the large intestine in patients who do not have peritoneal symptoms. 8,16 Different tools are used for removal, however the selection of them belongs to the endoscopist. The most commonly used are biopsy forceps, electrocoagulation loops, 'rat teeth' forceps, alligator forceps, polyps gripping forceps.…”

Section: Resultsmentioning

confidence: 99%

“…The most commonly used are biopsy forceps, electrocoagulation loops, 'rat teeth' forceps, alligator forceps, polyps gripping forceps. 16 More advanced methods include the use of a thread wrapped around the foreign body, an intestinal balloon to distend the intestine, a laser to cut the bone stuck in the intestine. [17][18][19] Some authors described a case of removing a toothpick blocked in the intestinal wall removed by inserting a clip on it, which was covered by the electrocoagulation loop.…”

Section: Resultsmentioning

confidence: 99%

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A chicken bone stuck in a divertic sigmoid colon, accidentally detected during a colonoscopy

Lasocki¹,

Kowalczyk

Dyśko³

et al. 2020

Pol. Ann. Med.

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Introduction: The swallowing of foreign bodies is a common clinical disorder. Aim: The aim of this study is to present the case of a swallowed foreign body and discuss the possible endoscopic approaches. Case study: We present a case of a 56-year-old woman who had a stuck chicken bone in a divertic sigmoid colon. In CT the presence of the bone in the sigmoid colon with edema and thickening of a wall around the foreign body was confirmed. The bone was removed in a hospital setting during colonoscopy with the use of ‘rat teeth’ forceps without complications. Results and discussion: Swallowed foreign bodies are usually excreted from the gastrointestinal tract without any complications, however, sometimes they can lead to serious clinical problems such as obstruction, perforation or bleeding. Most stapled foreign bodies in a large intestine can be removed endoscopically without complications. About 5% of patients require surgical treatment. Conclusions: The bone removal performed in the hospital setting ensured the possibility of appropriate procedure in case of complications, such as intestinal perforation or bleeding. The endoscopic bone removal prevented the development of complications requiring surgical treatment.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

A chicken bone stuck in a divertic sigmoid colon, accidentally detected during a colonoscopy

Lasocki¹,

Kowalczyk

Dyśko³

et al. 2020

Pol. Ann. Med.

View full text Add to dashboard Cite

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Unusual Presentation of a Sigmoid Mass with Chicken Bone Impaction in the Setting of Metastatic Lung Cancer

Zeidan

Lwin

Iswariah

et al. 2019

Case Reports in Surgery

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Background. Ingestion of foreign bodies can cause various gastrointestinal tract complications including abscess formation, bowel obstruction, fistulae, haemorrhage, and perforation. While these foreign body-related complications can occur in normal bowel, diseased bowel from inflammation, strictures, or malignancy can cause diagnostic difficulties. Endoscopy is useful in visualising the bowel from within, providing views of the mucosa and malignancies arising from here, but its ability in diagnosing extramural malignancies arising beyond or external to the mucosa of the bowel as in the case of metastatic extramural disease can be limited. Case Summary. We present the case of a 60-year-old female with an impacted chicken bone in the sigmoid colon with formation of a sigmoid mass, on a background of metastatic lung cancer. On initial diagnosis of her lung cancer, there was mild Positron Emission Tomography (PET) avidity in the sigmoid colon which had been evaluated earlier in the year with a colonoscopy with findings of diverticular disease. Subsequent computed tomography (CT) scans demonstrated thickening of the sigmoid colon with a structure consistent with a foreign body distal to this colonic thickening. A repeat PET scan revealed an intensely fluorodeoxyglucose (FDG) avid mass in the sigmoid colon which was thought to be inflammatory. She was admitted for a flexible sigmoidoscopy and removal of the foreign body which was an impacted chicken bone. She had a fall and suffered a fractured hip. During her admission for her hip fracture, she had an exacerbation of her abdominal pain. She developed a large bowel obstruction, requiring laparotomy and Hartmann’s procedure to resect the sigmoid mass. Histopathology confirmed metastatic lung cancer to the sigmoid colon. Conclusion. This unusual presentation highlights the challenges of diagnosing ingested foreign bodies in patients with metastatic disease.

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Impacted chicken bone of the sigmoid colon: Endoscopic removal with balloon dilatation

Cited by 2 publications

References 0 publications

A chicken bone stuck in a divertic sigmoid colon, accidentally detected during a colonoscopy

A chicken bone stuck in a divertic sigmoid colon, accidentally detected during a colonoscopy

Unusual Presentation of a Sigmoid Mass with Chicken Bone Impaction in the Setting of Metastatic Lung Cancer

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