CASE REPORT
A chicken bone stuck in a divertic sigmoid colon, accidentally detected during a colonoscopy
 
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1
Clinic of Oncological and General Surgery, University Clinical Hospital in Olsztyn, Poland
 
2
Department of Psychology and Social Sciences in Medicine and Public Health, Faculty of Health Sciences, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
 
3
Department of Anatomy, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
 
4
Department of General and Minimally Invasive Surgery, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
 
5
Department of Emergency Medicine and Disaster, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Toruń, Poland
 
6
Department of Oncology, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
 
 
Submission date: 2020-05-18
 
 
Final revision date: 2020-08-08
 
 
Acceptance date: 2020-08-08
 
 
Online publication date: 2020-11-15
 
 
Corresponding author
Łukasz Klepacki   

Department of Anatomy, Collegium Medicum, University of Warmia and Masuria, Poland
 
 
Pol. Ann. Med. 2020;27(2):205-208
 
KEYWORDS
TOPICS
ABSTRACT
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.

FUNDING
None declared.
CONFLICT OF INTEREST
None declared.
 
REFERENCES (17)
1.
Rodríguez-Hermosa JI, Codina-Cazador A, Sirvent JM, Martín A, Gironès J, Garsot E. Surgically treated perforations of the gastrointestinal tract caused by ingested foreign bodies. Color Dis. 2008;10(7):701–707. https://doi.org/10.1111/j.1463....
 
2.
Bekki T, Fujikuni N, Tanabe K, Amano H, Noriyuki T, Nakahara M. Liver abscess caused by fish bone perforation of stomach wall treated by laparoscopic surgery: a case report. Surg Case Reports. 2019;5(1):79. https://doi.org/10.1186/s40792....
 
3.
Lanitis S, Filippakis G, Christophides T, Papaconstandinou T, Karaliotas C. Combined laparoscopic and endoscopic approach for the management of two ingested sewing needles: One migrated into the liver and one stuck in the duodenum. J Laparoendosc Adv Surg Tech. 2007;17(3):311–314. https://doi.org/10.1089/lap.20....
 
4.
Velitchkov NG, Grigorov GI, Losanoff JE, Kjossev KT. Ingested foreign bodies of the gastrointestinal tract: Retrospective analysis of 542 cases. World J Surg. 1996;20(8):1001–1005. https://doi.org/10.1007/s00268....
 
5.
Sugawa C, Ono H, Taleb M, Lucas CE. Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review. World J Gastrointest Endosc. 2014;6(10):475–481. https://dx.doi.org/10.4253%2Fw....
 
6.
Mckechnie JC. Gastroscopic removal of a phytobezoar. Gastroenterology. 1972;62(5):1047–1051. https://doi.org/10.1016/S0016-....
 
7.
Webb WA. Management of foreign bodies of the upper gastrointestinal tract: Update. Gastrointest Endosc. 1995;41(1):39–51. https://doi.org/10.1016/s0016-....
 
8.
Ikenberry SO, Jue TL, Anderson MA, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc. 2011;73(6):1085–1091. https://doi.org/10.1016/j.gie.....
 
9.
Hershman M, Shamah S, Mudireddy P, Glick M. Pointing towards colonoscopy: Sharp foreign body removal via colonoscopy. Ann Gastroenterol. 2017;30(2):254–256. https://dx.doi.org/10.20524%2F....
 
10.
da Mota FF, Lisboa TV, da Costa BXM, et al. A novel clip-assisted method for endoscopic removal of an impacted toothpick from the colon. Endoscopy. 2016;48:E259–E260. https://doi.org/10.1055/s-0042....
 
11.
Grabysa R, Owczak R, Kubiak M, Kowalczyk M, Zaborowski P. Toothpick impaction in the sigmoid colon as a cause of chronic abdominal pain. Endoscopy. 2010;42(Suppl 2):E203. https://doi.org/10.1055/s-0030....
 
12.
Romano S, Lombardo P, Cinque T, Tortora G, Romano L. Acute colonic disease: How to image in emergency. Eur J Radiol. 2007;61(3):424–432. https://doi.org/10.1016/j.ejra....
 
13.
Ross E, McKenna P, Anderson JH. Foreign bodies in sigmoid colon diverticulosis. Clin J Gastroenterol. 2017;10(6):491–497. https://doi.org/10.1007/s12328....
 
14.
Milivojevic V, Rankovic I, Djukic B, Krstic M, Milosavljevic T. Colonoscopic extraction of a chicken wishbone stuck in the sigmoid colon, identified as diverticulitis: The patient’s and doctor’s wish comes true. Endoscopy. 2016;48(S 01):E374–E375. https://doi.org/10.1055/s-0042....
 
15.
Church J. How to remove an impacted chicken bone from the sigmoid colon endoscopically. Dis Colon Rectum. 2000;43(7):1018–1019. https://doi.org/10.1007/BF0223....
 
16.
Jeen YT, Chun HJ, Song CW, et al. Impacted chicken bone of the sigmoid colon: Endoscopic removal with balloon dilatation. Gastrointest Endosc. 2000;52(4):527. https://doi.org/10.1067/mge.20....
 
17.
Chen G, Freiman JS, Craig PI. Impacted chicken bone extracted with the aid of Nd:YAG laser. Gastrointest Endosc. 2016;84(3):535–536. https://doi.org/10.1016/j.gie.....
 
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