Colonoscopic diagnosis and treatment of chronic chicken bone perforation of the sigmoid colon

Tarnasky, Paul R.; Newcomer, Michael K.; Branch, M. Stanley

doi:10.1016/s0016-5107(94)70079-6

Cited by 25 publications

(6 citation statements)

References 23 publications

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“…About 1% of ingested foreign body may eventually need surgical removal; however, there have been only a few cases reported on sigmoidoscopic or colonoscopic retrieval of an impacted object at the gastrointestinal tract in adults and children. In case of disc battery, there have been no reports in children to date [ 3 4 5 ]. If impacted foreign bodies at the gastrointestinal tract be within the scope of endoscopic approaches, colonoscopic removal may be helpful in young children to avoid invasive surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

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Two Cases of Colonoscopic Retrieval of a Foreign Body in Children: A Button Battery and an Open Safety Pin

Yang

Cho

et al. 2017

Pediatr Gastroenterol Hepatol Nutr

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Ingestion of foreign body in children is a relatively common problem among paediatric population. The foreign bodies mostly pass spontaneously through the gastrointestinal tract. However, complications can occur according to its anatomical location, the characteristics of the foreign body, and delays in management. Although the cases of ingested button batteries or sharp objects impacted at the gastrointestinal tract can be very serious, there have been very only a few cases have reported colonoscopic removal of these dangerous foreign bodies in adults, and there have been no case reports in children. We report one case of a button battery and one case of an open safety pin, both impacted in the terminal ileum that had moved from the stomach within a few hours of ingestion and were eventually managed by colonoscopy without any complications.

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Section: Discussionmentioning

confidence: 99%

“…To date, there have been no reports on the management of a button battery impacted in the terminal ileum or the colon, having already passed the stomach, and only a few cases have been reported on the endoscopic retrieval of a foreign body in the small intestine or the colon in adults [ 3 4 5 ].…”

Section: Introductionmentioning

confidence: 99%

Two Cases of Colonoscopic Retrieval of a Foreign Body in Children: A Button Battery and an Open Safety Pin

Yang

Cho

et al. 2017

Pediatr Gastroenterol Hepatol Nutr

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“…The treatment of choice is resection of the affected small or large intestine with primary reconstruction, although some cases, such as ours, may require a colostomy. Our complicated case with sepsis, phlegmonous inflammation of the abdominal wall and several co-morbidities required Hartmann's procedure, though endoscopic removal of foreign bodies may be an option in uncomplicated cases [7,8].…”

Section: -6/2009mentioning

confidence: 99%

Chicken-bone perforation of a sigmoid colon diverticulum into the right groin and subsequent phlegmonous inflammation of the abdominal wall

Kornprat

Langner

Mohadjer

et al. 2009

Wien Klin Wochenschr

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Colonic diverticula are frequent in western countries and approximately 80% of patients who develop diverticulitis are elderly. The sigmoid and descending colon are most commonly involved. Clinical manifestations range from asymptomatic diverticula to life-threatening complications such as diverticulum perforation and subsequent peritonitis. In a small percentage of cases ingestion of foreign bodies can cause perforation of the sigmoid diverticulum. Ingestion of foreign bodies such as chicken bones, fish bones, toothpicks and dentures usually has no consequence and only 5% of such cases require surgery. Patients frequently do not realize that they have ingested the foreign body and the cause of the damage is usually discovered intraoperatively or on pathological examination of the surgical specimen. We report an 82-year-old woman with perforation of a sigmoid diverticulum into the right groin with subsequent phlegmonous inflammation of the abdominal wall. A Hartmann's procedure with necrectomy of the abdominal wall was performed. Histopathologic examination revealed an ingested chicken bone perforating the diverticulum. When diverticulitis or diverticular abscess is suspected in an elderly patient, foreign body impaction or perforation should be considered as a possible cause.

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“…60 It is increasingly being used for the identification and removal of small embedded foreign bodies whose surrounding tissue reaction has masqueraded as cancer or Crohn's disease. [61][62][63][64] These cases have been definitively dealt with via the colonoscope in patients who would have otherwise required an operation.…”

Section: Foreign Body Extractionmentioning

confidence: 99%

Therapeutic Colonoscopy

Colquhoun¹,

Vernava²

2001

Clinics in Colon and Rectal Surgery

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A great deal has been written on the recent achievements in the field of colon and rectal surgery via the laparoscope. Although impressive, this form of limited-access surgery has been slow to be universally adopted as the approach of choice for all colorectal pathologies. Despite only limited acceptance of laparoscopy, there is no doubt that the principles of limited access surgery have been practiced in the field of colon and rectal surgery, the longest of all surgical subspecialties. These triumphs have occurred using the colonoscope for treatment of lower gastrointestinal tract pathologies.This article explores therapeutic colonoscopy in the intervention of mechanical obstruction secondary to neoplasia, colonic volvulus, anastomotic strictures, colonic pseudo-obstruction, the localization and treatment of lower gastrointestinal bleeding, and the extraction of foreign bodies. Polypectomy and the treatment of complications of polypectomy can be found in the ar-ticle written by Drs. Weiss and Beck, respectively, in this issue of Clinics. MECHANICAL OBSTRUCTION NeoplasticCancer of the colon remains the commonest cause of large bowel obstruction in the United States, 1 approximately 10 to 30% of all colorectal cancers present in this fashion. 2 Obstructing lesions of the right colon are usually dealt with via resection and anastomosis. 1,3,4 Resection and primary colo-colonic anastomosis are not performed for left-sided obstructions. It is generally accepted that unprepared, dilated large bowel in already severely debilitated patients provides an unsuitable environment for healing of an anastomosis.Surgeons are left with the following alternatives in the face of an acute left-sided obstruction: permanent 347 ABSTRACT Colonoscopy provides a limited-access approach to colonic pathologies that would otherwise require surgical intervention. These therapies are proving safe and effective in a segment of the population prone to significant surgical morbidity and mortality. Colonic obstruction secondary to neoplasia, volvulus, anastomotic stricture, and colonic pseudo-obstruction are being treated via the colonoscope with reported success rates in excess of 90%. Lower gastrointestinal bleeding appears best localized via the colonoscope, and new experience suggests common pathologies such as angiodysplasia and diverticulosis are amenable to colonoscopic treatment in the majority of cases. The literature suggests these interventions to be safe, with complication and mortality rates below 5%.Objectives: On completion of this article the reader should be able to understand the advantages and disadvantages of colonoscopic intervention of the following forms of colonic obstruction: neoplastic, volvulus, anastomotic stricture, and colonic pseudoobstruction and to understand the advantages and disadvantages of colonoscopic localization and intervention of lower gastrointestinal bleeding.

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Colonoscopic diagnosis and treatment of chronic chicken bone perforation of the sigmoid colon

Cited by 25 publications

References 23 publications

Two Cases of Colonoscopic Retrieval of a Foreign Body in Children: A Button Battery and an Open Safety Pin

Two Cases of Colonoscopic Retrieval of a Foreign Body in Children: A Button Battery and an Open Safety Pin

Chicken-bone perforation of a sigmoid colon diverticulum into the right groin and subsequent phlegmonous inflammation of the abdominal wall

Therapeutic Colonoscopy

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