Case Report

Acute abdomen caused by ingested chicken wishbone: a case report

Faton T Hoxha¹ , Shemsedin I Hashani¹ , Driton S Komoni¹ , Lumturije H Gashi-Luci² , Fisnik I Kurshumliu² , Medita SH Hashimi³ and Avdyl S Krasniqi¹

¹  Department of Abdominal Surgery, University Clinical Centre of Kosova, Prishtina, Republic of Kosovo

²  Institute of Pathology, University Clinical Centre of Kosova, Prishtina, Republic of Kosovo

³  Department of Anesthesiology, University Clinical Centre of Kosova, Prishtina, Republic of Kosovo

author email corresponding author email

Cases Journal 2009, 2:64doi:10.1186/1757-1626-2-64

Published:	19 January 2009

Abstract

Introduction

An ingested foreign body often passes the gastrointestinal tract without any complications. Foreign bodies, such as dentures, fish bones, chicken bones, and toothpicks, have been known to cause perforation of the GI tract.

Case presentation

We are presenting a case of a fifty-year-old male with acute abdomen; diffuse fibro purulent peritonitis, i.e. ileum perforation, caused by accidentally ingesting a chicken wishbone. He was treated surgically with ileum resection, and temporary ileostomy. After four months, intestinal continuity was established in the second operation.

Conclusion

Intestinal perforation by a chicken bone is rare and affects the left colon or distal ileum. The lack of information of ingestion and detection of chicken bones preoperatively are of interest to be considered in the differential diagnosis of acute abdomen, which in this case was treated surgically.