Colonoscopic diagnosis and treatment of chronic chicken bone perforation of the sigmoid colon☆,☆☆,★,★★,♢

CASE REPORT

An 80-year-old woman was referred to our clinic for evaluation of chronic diarrhea and a positive fecal occult blood test. Her medical history was notable for peptic ulcer disease in the remote past, for which she had undergone a Billroth I gastrectomy. The history also included a total abdominal hysterectomy and appendectomy, and transient ischemic attacks.

The patient reported altered bowel habits of 5 months' duration that were accompanied by intermittent crampy abdominal pain. She described

DISCUSSION

This case report, which describes the endoscopic management of a sigmoid colon chicken bone impaction, is of interest for several reasons. First, lower intestinal foreign body impaction is uncommon despite the likely frequent accidental ingestion of objects, such as bones. Second, the case illustrates several conditions that can predispose patients to accidental ingestion and subsequent impaction of foreign bodies in the lower intestinal tract. And third, to our knowledge, it represents the

Acknowledgements

The authors wish to thank Dr. Steve Schutz for his helpful review of this manuscript.