Gradual Colonic Impaction of a Chicken Bone Associated with Inflammatory Pseudotumor Formation and Nonocclusive Colon Ischemia
Foreign body (FB) ingestion is a common clinical problem and most FBs pass through the gastrointestinal tract without the need for intervention. A wide spectrum of clinical presentations may be possible and these can be either acute or chronic. We present a case of an 83-year-old woman featuring ins...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Radiology |
| Online Access: | http://dx.doi.org/10.1155/2014/215465 |
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| author | Stefania Fosi Simone Altobelli Alessio Bindi Massimo Villa Flavio De Sanctis Mauro Montuori Edoardo Ricciardi Piero Rossi Giuseppe Petrella Giovanni Simonetti |
| author_facet | Stefania Fosi Simone Altobelli Alessio Bindi Massimo Villa Flavio De Sanctis Mauro Montuori Edoardo Ricciardi Piero Rossi Giuseppe Petrella Giovanni Simonetti |
| author_sort | Stefania Fosi |
| collection | DOAJ |
| description | Foreign body (FB) ingestion is a common clinical problem and most FBs pass through the gastrointestinal tract without the need for intervention. A wide spectrum of clinical presentations may be possible and these can be either acute or chronic. We present a case of an 83-year-old woman featuring insidious abdominal discomfort who was hospitalized in our institution due to worsening symptoms. She underwent contrast-enhanced computed tomography (CT) evaluation which showed the presence of a significant parietal thickening of the transverse and descending colon, a mesenteric loose tissue imbibition, venous engorgement, and no filling defect of visceral arteries, suggesting a condition of nonocclusive colon ischemia. A hyperdense FB was identified in the sigma and was associated with a small pseudotumoral mass. The patient underwent surgical exploration which confirmed the hypoperfusional state of the colon, showing the presence of a chicken bone perforating the sigma and lying in the context of a pseudotumoral mass. Our experience shows how contrast-enhanced CT is feasible and can be strongly recommended as a first-line imaging tool on suspicion of colon ischemia and also how it can easily identify the underlying cause, in our case a FB sealed perforation of the sigma with pseudotumoral mass formation. |
| format | Article |
| id | doaj-art-f69af2271a5041d69134e21a80e7537a |
| institution | Kabale University |
| issn | 2090-6862 2090-6870 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Radiology |
| spelling | doaj-art-f69af2271a5041d69134e21a80e7537a2025-02-03T01:23:52ZengWileyCase Reports in Radiology2090-68622090-68702014-01-01201410.1155/2014/215465215465Gradual Colonic Impaction of a Chicken Bone Associated with Inflammatory Pseudotumor Formation and Nonocclusive Colon IschemiaStefania Fosi0Simone Altobelli1Alessio Bindi2Massimo Villa3Flavio De Sanctis4Mauro Montuori5Edoardo Ricciardi6Piero Rossi7Giuseppe Petrella8Giovanni Simonetti9Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, Policlinico Tor Vergata (PTV), Viale Oxford 81, 00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, Policlinico Tor Vergata (PTV), Viale Oxford 81, 00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, Policlinico Tor Vergata (PTV), Viale Oxford 81, 00133 Rome, ItalyDepartment of Experimental Science and Surgery, Policlinico Tor Vergata (PTV), Viale Oxford 81, 00133 Rome, ItalyDepartment of Experimental Science and Surgery, Policlinico Tor Vergata (PTV), Viale Oxford 81, 00133 Rome, ItalyDepartment of Experimental Science and Surgery, Policlinico Tor Vergata (PTV), Viale Oxford 81, 00133 Rome, ItalyDepartment of Experimental Science and Surgery, Policlinico Tor Vergata (PTV), Viale Oxford 81, 00133 Rome, ItalyDepartment of Experimental Science and Surgery, Policlinico Tor Vergata (PTV), Viale Oxford 81, 00133 Rome, ItalyDepartment of Experimental Science and Surgery, Policlinico Tor Vergata (PTV), Viale Oxford 81, 00133 Rome, ItalyDepartment of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, Policlinico Tor Vergata (PTV), Viale Oxford 81, 00133 Rome, ItalyForeign body (FB) ingestion is a common clinical problem and most FBs pass through the gastrointestinal tract without the need for intervention. A wide spectrum of clinical presentations may be possible and these can be either acute or chronic. We present a case of an 83-year-old woman featuring insidious abdominal discomfort who was hospitalized in our institution due to worsening symptoms. She underwent contrast-enhanced computed tomography (CT) evaluation which showed the presence of a significant parietal thickening of the transverse and descending colon, a mesenteric loose tissue imbibition, venous engorgement, and no filling defect of visceral arteries, suggesting a condition of nonocclusive colon ischemia. A hyperdense FB was identified in the sigma and was associated with a small pseudotumoral mass. The patient underwent surgical exploration which confirmed the hypoperfusional state of the colon, showing the presence of a chicken bone perforating the sigma and lying in the context of a pseudotumoral mass. Our experience shows how contrast-enhanced CT is feasible and can be strongly recommended as a first-line imaging tool on suspicion of colon ischemia and also how it can easily identify the underlying cause, in our case a FB sealed perforation of the sigma with pseudotumoral mass formation.http://dx.doi.org/10.1155/2014/215465 |
| spellingShingle | Stefania Fosi Simone Altobelli Alessio Bindi Massimo Villa Flavio De Sanctis Mauro Montuori Edoardo Ricciardi Piero Rossi Giuseppe Petrella Giovanni Simonetti Gradual Colonic Impaction of a Chicken Bone Associated with Inflammatory Pseudotumor Formation and Nonocclusive Colon Ischemia Case Reports in Radiology |
| title | Gradual Colonic Impaction of a Chicken Bone Associated with Inflammatory Pseudotumor Formation and Nonocclusive Colon Ischemia |
| title_full | Gradual Colonic Impaction of a Chicken Bone Associated with Inflammatory Pseudotumor Formation and Nonocclusive Colon Ischemia |
| title_fullStr | Gradual Colonic Impaction of a Chicken Bone Associated with Inflammatory Pseudotumor Formation and Nonocclusive Colon Ischemia |
| title_full_unstemmed | Gradual Colonic Impaction of a Chicken Bone Associated with Inflammatory Pseudotumor Formation and Nonocclusive Colon Ischemia |
| title_short | Gradual Colonic Impaction of a Chicken Bone Associated with Inflammatory Pseudotumor Formation and Nonocclusive Colon Ischemia |
| title_sort | gradual colonic impaction of a chicken bone associated with inflammatory pseudotumor formation and nonocclusive colon ischemia |
| url | http://dx.doi.org/10.1155/2014/215465 |
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