Diverticular Perforation Secondary to a Chicken Bone: Food for Thought

A 56-year-old man presented to the emergency department with a one-day history of lower abdominal pain and fever. Clinical examination revealed generalized peritonitis. A computed tomography (CT) scan identified a linear hyperdensity straddling the site of a perforated sigmoid diverticulum. The pati...

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Detalles Bibliográficos
Autores principales: Eastment, Jacques G, Butler, Nick, Slater, Kellee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2019
Materias:
Gastroenterology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6529044/
https://www.ncbi.nlm.nih.gov/pubmed/31157135
http://dx.doi.org/10.7759/cureus.4273
Descripción
Sumario:A 56-year-old man presented to the emergency department with a one-day history of lower abdominal pain and fever. Clinical examination revealed generalized peritonitis. A computed tomography (CT) scan identified a linear hyperdensity straddling the site of a perforated sigmoid diverticulum. The patient proceeded to emergency laparotomy, which confirmed feculent peritonitis secondary to chicken bone perforation through the sigmoid colon diverticulum. After removal of the bone, Hartmann’s procedure was performed, and the patient subsequently made an excellent recovery.

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