Bowel Perforation in a Strangulated Hernia Caused by a Chicken Bone: Case Report

Introduction: Perforation of a strangulated hernia by a foreign body is a very uncommon occurrence with a few cases reported in the literature. Case report: Here we present a case of a 76 year old male patient who was admitted to our emergency department with an irreducible and painful right inguinal hernia. Surgical exploration revealed a strangulated inguinal hernia containing a segment of the ilium perforated by a chicken bone, A resection of the perforated segment and a termino - terminal anastomosis was performed and the hernia defected was closed by the Bassinet technique. Discussion: The Ingestion of a foreign body is frequent for children, in adults it?s an uncommon occurrence who usually pass spontaneously without the need for surgery, but it may rarely causes complications such as bleeding, obstruction, abscess or sepsis. These complications can be manifest as a strangulated hernia by the incarceration of chicken bone which should be diagnosed and treated early to reduce morbidity and mortality. Classic treatment for foreign perforation is open surgical removal with local bowel repair or segmental bowel resection. Prevention is very important by special care to people with risk factors and the feeding in nursing homes should be very careful. Conclusion: Perforation of an irreducible hernia by a chicken bone is very rare and not reported currently. It may be life - threatening and must be diagnosed and treated early.