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 Table of Contents  
IMAGES IN ACADEMIC MEDICINE: REPUBLICATION
Year : 2017  |  Volume : 3  |  Issue : 3  |  Page : 191-192

Chicken noodle soup - comfort food?


Department of Surgery, Division of Trauma and Surgical Critical Care, Temple University School of Medicine; OPUS 12 Foundation, Inc., Philadelphia Chapter, PA, USA

Date of Web Publication21-Apr-2017

Correspondence Address:
Mark J Seamon
Department of Surgery, Division of Trauma and Surgical Critical Care, Temple University Hospital, 4th Floor Parkinson Pavilion, Philadelphia, PA
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJAM.IJAM_17_17

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  Abstract 


This article describes a case of small bowel perforation following ingestion of homemade chicken noodle soup. The acute abdominal emergency was due to chicken bone perforating through the jejunal wall. Preoperative and intraoperative images are provided.
The following core competencies are addressed in this article: Medical knowledge, Patient care.
Republished with permission from: Seamon MJ. Chicken noodle soup – - Comfort food? OPUS 12 Scientist 2009;3(1):19.

Keywords: Foreign body, ingestion, intestinal perforation, peritonitis


How to cite this article:
Seamon MJ. Chicken noodle soup - comfort food?. Int J Acad Med 2017;3, Suppl S1:191-2

How to cite this URL:
Seamon MJ. Chicken noodle soup - comfort food?. Int J Acad Med [serial online] 2017 [cited 2020 Oct 30];3, Suppl S1:191-2. Available from: https://www.ijam-web.org/text.asp?2017/3/3/191/204948




  Introduction Top


This article describes a case of small bowel perforation following ingestion of homemade chicken noodle soup. The acute abdominal emergency was due to chicken bone perforating through the jejunal wall. Pre- and intra-operative images are provided.


  Case Report Top


A 52-year-old patient was brought to the Emergency Department with 24 h history of worsening abdominal pain. He denied fevers, chills, nausea, vomiting, diarrhea, or constipation. His medical and surgical history was significant for diabetes mellitus, hypertension, and a previous laparotomy approximately 20 years ago. Physical examination was concerning for diffuse abdominal tenderness with guarding. Laboratory analysis not only revealed normal electrolytes, liver function tests, and pancreatic enzymes but also a white blood cell count of 16,300/mm 3. Computed tomographic scan was performed by the Emergency Department was significant for mid-jejunal perforation by a 7 cm calcified foreign body [Figure 1] and [Figure 2], arrows]. Although the patient denied ingestion of any foreign substance, further questioning revealed a history of homemade chicken noodle soup ingestion 1 day before admission. He was brought expediently to the operating room where an exploratory laparotomy and lysis of adhesions exposed the mid-jejunal perforation found with the chicken bone perforating through the jejunal wall [Figure 3]. The chicken bone was removed [Figure 4], the short segment of jejunum was resected, and side-to-side, functional end-to-end stapled anastomosis was performed. The patient recovered uneventfully.
Figure 1: Abdominal CT finding of a foreign object associated with focal bowel perforation

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Figure 2: Abdominal CT finding of a foreign object associated with focal bowel perforation using bone window settings

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Figure 3: Intraoperative photograph demonstrating bowel perforation due to ingested chicken bone

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Figure 4: The surgical specimen after retrieval and bowel resection

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  Conclusions Top


The author described a case of small bowel perforation following ingestion of homemade chicken noodle soup. The acute abdominal emergency was due to chicken bone perforating through the jejunal wall. This is a very uncommon cause of surgical abdomen, described in only a handful of instances.[1],[2] Preoperative and intraoperative imaging characteristics of this rare finding are presented.

Acknowledgement

Justifications for re-publishing this scholarly content include: (a) The phasing out of the original publication after a formal merger of OPUS 12 Scientist with the International Journal of Academic Medicine and (b) Wider dissemination of the research outcome(s) and the associated scientific knowledge.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Hoxha FT, Hashani SI, Komoni DS, Gashi-Luci LH, Kurshumliu FI, Hashimi MS, et al. Acute abdomen caused by ingested chicken wishbone: A case report. Cases J 2009;2:64.  Back to cited text no. 1
    
2.
Syrakos T, Zacharakis E, Antonitsis P, Zacharakis E, Spanos C, Georgantis G, et al. Surgical intervention for gastrointestinal foreign bodies in adults: A case series. Med Princ Pract 2008;17:276-9.  Back to cited text no. 2
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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Abstract
Introduction
Case Report
Conclusions
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