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Chronic intentional chicken bone ingestion mimicking inflammatory bowel disease
  1. Jacob T Dines and
  2. Amie Harvey
  1. Internal Medicine, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA
  1. Correspondence to Dr Jacob T Dines; jtdines{at}gmail.com

Abstract

Ingestion of food by-products, such as peach pits, chicken bones and fish bones, may lead to intestinal complications. The ingestion of the foreign body is often acute and non-intentional. Acute and life-threatening complications include intestinal perforation or obstruction. Sharp-pointed objects are associated with an estimated 35% rate of complications within the gastrointestinal tract prior to passage and require prompt removal. Endoscopic retrieval is often recommended if foreign objects have not transited beyond the proximal duodenum. We present a unique case of a previously healthy 23-year-old male suffering months of abdominal pain. While the initial presentation and imaging were suspicious for Crohn’s disease, the endoscopic findings were unexpected. Numerous chicken bone fragments were clustered in the caecum and in the terminal ileum. The distal terminal ileum was edematous and ulcerated. Subsequent patient history revealed years of chronic and intentional foreign body consumption with recent onset of abdominal pain.

  • endoscopy
  • Crohn's disease
  • gastrointestinal system
  • inflammatory bowel disease
  • gastroenterology

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Footnotes

  • Contributors JTD was the primary author of this case report and was responsible for the initial draft as it pertains to format, writing, image choices and organisation. The supervising attendant AH made considerable additions, edits and comprehensive review of the final draft throughout and approves of the final product and submission of this paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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