title: Gastric Perforation by Ingested Rabbit Bone Fragment.
abstract: The majority of accidentally ingested foreign bodies is excreted from the gastrointestinal (GI) tract without any complications. Sometimes sharp foreign bodies - like chicken and fish bones - can lead to intestinal perforation and may present insidiously with a wide range of symptoms and, consequently, different diagnoses. We report the case of a 59-year-old woman presenting with fever and a 1-month history of vague abdominal pain. Computed tomography (CT) showed the presence of a hyperdense linear image close to the gastric antrum surrounded by a fluid collection and free peritoneal air. At laparotomy, a 4-cm rabbit bone fragment covered in inflamed tissue was detected next to a gastric wall perforation. Rabbit bone fragment ingestion, even if rarely reported, should not be underestimated as a possible cause of GI tract perforation.
authors.affiliation: Department of Surgical and Biomedical Sciences, Division of Radiology 2, Perugia University, Santa Maria della Misericordia Hospital, Perugia, Italy.
authors.forename: Giulio
authors.initials: G
authors.lastname: Gambaracci
authors.affiliation: Department of Surgical and Biomedical Sciences, Division of Radiology 2, Perugia University, Santa Maria della Misericordia Hospital, Perugia, Italy.
authors.forename: Eleonora
authors.initials: E
authors.lastname: Mecarini
authors.affiliation: Department of Surgical and Biomedical Sciences, Division of Radiology 1, Santa Maria della Misericordia Hospital, Perugia, Italy.
authors.forename: Maria Silvia
authors.initials: MS
authors.lastname: Franceschini
authors.affiliation: Department of Surgical and Biomedical Sciences, Division of Radiology 2, Perugia University, Santa Maria della Misericordia Hospital, Perugia, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Scialpi
keywords: Bone fragment; Foreign body; Ingestion; Perforation; Rabbit; Stomach