Sigmoid Carcinoma Incidentally Discovered After Perforation Caused by an Ingested Chicken Bone

Vardaki, Eleni; Maniatis, V.; Chrisikopoulos, Harris; Papadopoulos, A.; Roussakis, Arkadios; Kavadias, S.; Stringaris, Kiriakos A.

doi:10.2214/ajr.176.1.1760153

Cited by 15 publications

(20 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This case appears to be the fifth reported example of colon perforation resulting from foreign body perforation due to previously undiagnosed colon cancer [4-7]. Table 1 outlines the basic specifics of these five cases.…”

Section: Introductionmentioning

confidence: 99%

Colonic perforation resulting from ingested chicken bone revealing previously undiagnosed colonic adenocarcinoma: report of a case and review of literature

McGregor

Ulusaraç

et al. 2011

World J Surg Onc

View full text Add to dashboard Cite

An 86 year old male with a four-day history of nonspecific gastrointestinal symptoms was found on colonoscopy to have evidence of sigmoid colon obstruction and possible perforation. Emergent operative exploration revealed diffuse peritonitis, sigmoid perforation, adjacent dense adhesions, and a foreign body protruding through the perforated area. Pathologic examination showed the foreign body to be a sliver of bone consistent with chicken bone and the sigmoid subacute perforation to be associated distally with a circumferential ulcerated obstructing mass, microscopically seen to be transmurally infiltrating adenocarcinoma, signet-ring cell type. There was extensive acute and organizing peritonitis, 100% Escherichia coli was cultured from peritoneal fluid, and the patient died two days postoperatively with sepsis and hypotension. This appears to be the fifth reported case of colonic perforation resulting from foreign body perforation due to previously undiagnosed adenocarcinoma. The four previously reported cases were all deeply invasive adenocarcinoma of sigmoid colon, and the foreign bodies included three chicken/poultry bones and a metallic staple. These five cases are highly unusual examples of a potentially lethal malignant neoplasm being clinically revealed by a usually (but not always) innocuous event, the ingestion of a small foreign body.

show abstract

Section: Introductionmentioning

confidence: 99%

Colonic perforation resulting from ingested chicken bone revealing previously undiagnosed colonic adenocarcinoma: report of a case and review of literature

McGregor

Ulusaraç

et al. 2011

World J Surg Onc

View full text Add to dashboard Cite

show abstract

“…One review of cases of a sigmoid colonic perforation due to a chicken bone found three main presentations: 1) colovesical fistula; 2) acute abdomen; and 3) inflammatory mass [8]. Two other reports revealed incidentally discovered sigmoid carcinoma after perforation caused by an ingested chicken bone [9,10]. Our patient presented with the classical symptoms of acute appendicitis as generalised abdominal pain with localisation to the right iliac fossa.…”

Section: Discussionmentioning

confidence: 75%

Sigmoid perforation caused by an ingested chicken bone presenting as right iliac fossa pain mimicking appendicitis: a case report

et al. 2009

View full text Add to dashboard Cite

IntroductionGastrointestinal perforation due to a foreign body is not unknown. The foreign body often mimics another cause of acute abdomen and requires emergency surgical intervention. The majority of patients do not recall ingesting the foreign body. Perforations have been reported to occur in a pathologically abnormal colon.Case presentationWe report an interesting case of a 47-year-old Caucasian man who had a perforation of the sigmoid colon caused by an ingested chicken bone mimicking acute appendicitis. Our patient presented with right iliac fossa pain and local tenderness. When a laparotomy was performed, a chicken bone was found protruding through the sigmoid colon, which was found to lie in the right iliac fossa, thus mimicking acute appendicitis. Our case is different from previously reported cases in that perforation occurred in a non-pathological colon.ConclusionOur case emphasises the fact that the operating surgeon has to be aware of various differential diagnostic possibilities which mimic acute appendicitis. This has implications on the training of junior surgeons who are often involved in performing these procedures, and may do so out of hours. Care needs to be taken while obtaining consent for the necessary operation.

show abstract

“…There have been several previous reports of perforation occurring at the point of a neoplastic stricture often found incidentally following histological examination of the specimen 3–5. It has been suggested that the tumour provides a point for the foreign body to impact and perforate where it may otherwise have passed out of the bowel without problem.…”

Section: Discussionmentioning

confidence: 99%

Be careful what you wish for: an ingested foreign body masquerading as cancer

Wright

Roy²,

Linsell³

2010

Case Reports

View full text Add to dashboard Cite

We present a case in which a patient with suspected colorectal cancer, referred to the surgical outpatient clinic, was subsequently found to have a chicken wishbone apparently perforating the sigmoid colon. This demonstrates the complexities of diagnosis and management of an unusual presentation of ingested foreign body. This case is a useful learning point in consideration of differential diagnosis in the presentation of an apparently malignant lesion.

show abstract

Sigmoid Carcinoma Incidentally Discovered After Perforation Caused by an Ingested Chicken Bone

Cited by 15 publications

References 3 publications

Colonic perforation resulting from ingested chicken bone revealing previously undiagnosed colonic adenocarcinoma: report of a case and review of literature

Colonic perforation resulting from ingested chicken bone revealing previously undiagnosed colonic adenocarcinoma: report of a case and review of literature

Sigmoid perforation caused by an ingested chicken bone presenting as right iliac fossa pain mimicking appendicitis: a case report

Be careful what you wish for: an ingested foreign body masquerading as cancer

Contact Info

Product

Resources

About