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Colonic Perforation by Ingested Chicken Bone

Amjad A. Rasheed1, Vikram Deshpande2 and Priscilla J. Slanetz1

1 Department of Radiology, Massachusetts General Hospital and the Harvard Medical School, 15 Parkman St., Boston, MA 02114.
2 Department of Pathology, Massachusetts General Hospital and the Harvard Medical School, Boston, MA 02114.



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  		Fig. 1A. —59-year-old man with left lower quadrant pain and fever caused by sigmoid perforation from ingested chicken bone. CT scan of pelvis shows free intraperitoneal air (curved arrows), diverticula (straight white arrow), and extensive inflammation (long black arrow) around sigmoid colon. Linear opacity in sigmoid colon represents perforating chicken bone (short black arrow).

 


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  		Fig. 1B. —59-year-old man with left lower quadrant pain and fever caused by sigmoid perforation from ingested chicken bone. Photograph of pathologic specimen shows resected sigmoid colon with perforating chicken bone (arrows).

 


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  		Fig. 1C. —59-year-old man with left lower quadrant pain and fever caused by sigmoid perforation from ingested chicken bone. Photomicrograph shows perforation tract (open arrows) with adjacent inflammation (solid arrow). (H and E, x100)

 

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