A CASE OF SMALL INTESTINAL PERFORATION BY A CHICKEN BONE

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  • 鳥骨による小腸穿孔の１例

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Perforation of the digestive tract by ingested chicken bones is reratively rare and is difficult to diagnose preoperatively. A 61-year-old man was transferred from a local hospital with the diagnosis of bowel obstruction. The most tender point was in the right lower quadrant of the abdomen without rebound tenderness. Inflammatory reaction was noted on laboratory examination. Computed tomography showed dilatation and wall thickness of the small intestine in the right lower quadrant. Emergency operation was performed. On laparoscopic findings, there was pus like ascites and a foreign body protruding through the small intestine. The foreign body proved to be a chicken bone from the interview to the patient.

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