Laparoscopic primary suture repair of sigmoid perforation due to a chicken bone: a case report

TL;DR

A 54-year-old man had a successful laparoscopic repair of a sigmoid colon perforation caused by a chicken bone, showing this minimally invasive approach can be safe and effective.

Contribution

This case demonstrates the feasibility of laparoscopic repair for sigmoid perforation due to foreign body ingestion, a rarely reported scenario.

Findings

Laparoscopic primary suture repair was successfully performed for a chicken bone-induced sigmoid perforation.

The patient recovered fully and was discharged on post-operative Day 9, indicating a positive clinical outcome.

The case suggests that minimally invasive techniques may be viable for select cases of foreign body-induced colon perforation.

Abstract

Sigmoid colon perforation due to foreign body ingestion is a rare and potentially life-threatening condition. Whilst sigmoid perforation is often managed through surgical intervention, no guidelines exist regarding use of minimally invasive approaches in foreign body ingestion. We report the case of a 54-year-old male who presented with acute abdominal pain and localized peritonitis following the accidental ingestion of a chicken bone. Imaging revealed localized free intraperitoneal air and following laparoscopic exploration, a sigmoid perforation secondary to a chicken bone was identified. Laparoscopic primary suture repair was successfully carried out, with the patient making a full and uneventful recovery, being discharged on post-operative Day 9. The case highlights the feasibility and safety of laparoscopic primary suture repair in select cases of sigmoid colon perforation caused by an ingested foreign body. This should promote further research into this surgical case management.

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