A Case of Large Bowel Perforation Caused by a Duck Bone Treated by Laparoscopic Surgery

Tsukahara Keiji, Oono Ryo, Otomo Mayuko, Yoshida Tsuyoshi, Kawamura Yudai, Kamiya Ayako, Harada Tsumugu, Miyazawa Suguru, Obata Mitsuru

doi:10.4030/jjcs.47.666

<p>The patient was a 62-year-old man, who visited our emergency outpatient department in late February 2022, complaining of lower abdominal pain.</p><p>Physical examination revealed tenderness and peritoneal irritation in the lower abdomen. The body temperature was 37.9℃, the total leukocyte count was 12.400/mm³, and the serum CRP was 6.8 mg/dl, indicating an acute inflammatory response. Abdominal CT revealed a linear foreign body penetrating the sigmoid colon. Free gas in the upper abdomen and a small amount of ascites in the pelvis were also observed. We diagnosed the patient as having peritonitis due to perforation caused by a foreign body and performed surgery. Laparoscopic examination confirmed the presence of a perforation in the sigmoid colon, with the tip of the linear foreign body measuring about 4 cm long protruding from the perforation. The foreign body was removed with forceps and the perforation was covered and closed with a fat drop from nearby. A postoperative review of the history revealed that the foreign body was a duck bone. The postoperative course was uneventful and the patient was discharged 7 days after the operation.</p>

A Case of Large Bowel Perforation Caused by a Duck Bone Treated by Laparoscopic Surgery

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