Kim JS, Kim HK, Cho YS, Chae HS, Kim CW, Kim BW, Han SW, Choi KY. Extraction and clipping repair of a chicken bone penetrating the gastric wall. World J Gastroenterol 2008; 14(12): 1955-1957 [PMID: 18350641 DOI: 10.3748/wjg.14.1955]
Corresponding Author of This Article
Hiun-Suk Chae, MD, Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, 65-1 Geumo-dong, Uijeongbu city, Kyunggido 480-717, Korea. chs@catholic.ac.kr
Article-Type of This Article
Case Report
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World J Gastroenterol. Mar 28, 2008; 14(12): 1955-1957 Published online Mar 28, 2008. doi: 10.3748/wjg.14.1955
Extraction and clipping repair of a chicken bone penetrating the gastric wall
Jin-Soo Kim, Hyung-Keun Kim, Young-Seok Cho, Hiun-Suk Chae, Chang-Whan Kim, Byung-Wook Kim, Sok-Won Han, Kyu-Yong Choi
Jin-Soo Kim, Hyung-Keun Kim, Young-Seok Cho, Hiun-Suk Chae, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Uijeongbu St. Mary’s Hospital, Gyeonggi-do 480-717, Korea
Byung-Wook Kim, Kyu-Yong Choi, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Our lady of Mercy Hospital, Gyeonggi-do 420-717, Korea
Chang-Whan Kim, Sok-Won Han, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Holy Family Hospital, Gyeonggi-do 420-717, Korea
Author contributions: Kim JS mainly wrote the manuscript and performed all the procedures; Chae HS provided the idea of management and revised the manuscript; Kim HK, Cho YS, Kim CW, Kim BW, Han SW, Choi KY revised the manuscript.
Correspondence to: Hiun-Suk Chae, MD, Department of Internal Medicine, Uijeongbu St. Mary’s Hospital, 65-1 Geumo-dong, Uijeongbu city, Kyunggido 480-717, Korea. chs@catholic.ac.kr
Telephone: +82-31-8203019
Fax: +82-31-8472719
Received: September 20, 2007 Revised: December 10, 2007 Published online: March 28, 2008
Abstract
We report a case of gastric penetration caused by accidental ingestion of a chicken bone in a 42-year old woman with a partially wearing denture. Three days ago, she accidentally swallowed several lumps of poorly-chewed chicken. Physical examination disclosed mild tenderness in the periumbilical area. Abdominal Computed tomography (CT) showed a suspicious penetration or perforation of the stomach wall measuring about 3 cm, by a linear radiopaque material at the lesser curvature of the antrum. The end of a chicken bone was very close to but did not penetrate the liver. Endoscopic examination revealed a chicken bone that penetrated into the prepyloric antrum. The penetrating chicken bone was removed with grasping forceps. Five endoscopic clips were applied immediately at the removal site and the periumbilical pain resolved promptly. After removal of the chicken bone, the patient was treated with conservative care for three days, after which she was completely asymptomatic and discharged without complication. To treat gastric penetration by a foreign body, endoclipping can be a useful method in patients with no signs or symptoms of peritoneal irritation.
