Gastrointestinal Perforation by Chicken Bones

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Abstract
Cases (4) of gastrointestinal perforation by chicken bones are presented. Variability in the clinical manifestations generally precludes a correct preoperative diagnosis of intraabdominal chicken bone abscess. In 2 patients, a diagnosis was possible with plain abdominal radiographs. Although the abnormalities seen were nonspecific, the identification of a chicken bone with an associated mass or extraluminal gas collection in a patient with signs of peritonitis, mechanical bowel obstruction or pneumoperitoneum strongly suggests the diagnosis. A history of alcoholism or wearing dentures strengthens it.

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