Extraction and clipping repair of a chicken bone penetrating the gastric wall.
We report a case of gastric penetration caused by accidental ingestion of a chicken bone in a 42-year old woman with a partially wearing denture. Three days ago, she accidentally swallowed several lumps of poorly-chewed chicken. Physical examination disclosed mild tenderness in the periumbilical area. Abdominal Computed tomography (CT) showed a suspicious penetration or perforation of the stomach wall measuring about 3 cm, by a linear radiopaque material at the lesser curvature of the antrum. The end of a chicken bone was very close to but did not penetrate the liver. Endoscopic examination revealed a chicken bone that penetrated into the prepyloric antrum. The penetrating chicken bone was removed with grasping forceps. Five endoscopic clips were applied immediately at the removal site and the periumbilical pain resolved promptly. After removal of the chicken bone, the patient was treated with conservative care for three days, after which she was completely asymptomatic and discharged without complication. To treat gastric penetration by a foreign body, endoclipping can be a useful method in patients with no signs or symptoms of peritoneal irritation.
Kim
Jin-Soo
JS
Department of Internal Medicine, Uijeongbu St. Mary's Hospital, 65-1 Geumo-dong, Uijeongbu city, Kyunggido 480-717, Korea.
Kim
Hyung-Keun
HK
Cho
Young-Seok
YS
Chae
Hiun-Suk
HS
Kim
Chang-Whan
CW
Kim
Byung-Wook
BW
Han
Sok-Won
SW
Choi
Kyu-Yong
KY
D000328:Adult; D000368:Aged; D000818:Animals; D001842:Bone and Bones; D002645:Chickens; D005260:Female; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D013270:Stomach / Q000293:injuries / Q000601:surgery