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Vol. 80. Issue 1.
Pages 107-108 (January - March 2015)
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Vol. 80. Issue 1.
Pages 107-108 (January - March 2015)
CLINICAL IMAGE IN GASTROENTEROLOGY
Open Access
Sigmoid colon diverticulum perforated by a chicken bone
Perforación de divertículo de colon sigmoide por hueso de pollo
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J.L. Domínguez-Jiméneza,
Corresponding author
jldominguezjim@hotmail.com

Corresponding author: Aparato Digestivo. Hospital Alto Guadalquivir. Avda Blas Infante s/n. 23740 Andújar (Jaén).
, M.T. Jaén-Reyesb
a Aparato Digestivo, Hospital Alto Guadalquivir, Andújar, Jaén, Spain
b Radiodiagnóstico, Hospital Alto Guadalquivir, Andújar, Jaén, Spain
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An asymptomatic 79-year-old woman, with an unremarkable past medical history, came to the endoscopy service for a programmed colonoscopy, as a screening procedure due to a family history of colorectal cancer. The endoscopy (fig. 1) identified a large quantity of wide-mouthed diverticular orifices at the level of the sigmoid colon and a smooth, curved foreign body (chicken bone) penetrating the mucosa, surrounded by an important inflammatory reaction. An unsuccessful attempt was made to extract it through traction. An abdominal computed tomography scan (fig. 2) revealed an elongated, L-shaped bone, penetrating the wall of the sigmoid colon, producing a thickening of the right pelvic fascia (inflammatory/fibrous reaction). The patient refused surgical treatment and asked to be released. Two months later, the patient returned for consultation after spontaneously expulsing the bone through bowel movements. There are many published articles in relation to perforation of sigmoid colon diverticula by foreign objects, the most common of which are fish bones. However, asymptomatic presentation followed by spontaneous expulsion is an anecdotal case.

Figure 1.

Endoscopic image of a foreign body (chicken bone) impacted in the diverticular orifice of the sigmoid colon, with an intense inflammatory reaction.

(0.09MB).
Figure 2.

Abdominal computed tomography scan showing the foreign body (chicken bone) penetrating the wall of the sigmoid colon, with pelvic fascia thickening.

(0.08MB).
Ethical responsibilitiesProtection of persons and animals

The authors declare that no experiments on humans or animals were carried out in relation to this study.

Data confidentiality

The authors declare that no patient data appear in this article.

Right to privacy and informed consent

The authors declare that no patient data appear in this article.

Financial disclosure

No financial support was received in relation to this study/article.

Conflict of interest

The authors declare that there is no conflict of interest.

Please cite this article as: Domínguez-Jiménez JL, Jaén-Reyes MT. Perforación de divertículo de colon sigmoide por hueso de pollo. Revista de Gastroenterología de México. 2015;80:107–108.

Copyright © 2014. Asociación Mexicana de Gastroenterología
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