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
CORRESPONDING AUTHOR
Łukasz Klepacki   

Department of Anatomy, Collegium Medicum, University of Warmia and Masuria, Poland
Submission date: 2020-05-18
Final revision date: 2020-08-08
Acceptance date: 2020-08-08
Online publication date: 2020-11-15
 
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.

CONFLICT OF INTEREST
None declared.
FUNDING
None declared.
 
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