Maglinte D D, Taylor S D, Ng A C
Radiology. 1979 Mar;130(3):597-9. doi: 10.1148/130.3.597.
Four cases of gastrointestinal perforation by chicken bones are presented. Variability in the clinical manifestations generally precludes a correct preoperative diagnosis of intraabdominal chicken bone abscess. However, 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.
本文报告了4例鸡骨导致的胃肠道穿孔病例。临床表现的多样性通常使得术前难以正确诊断腹腔内鸡骨脓肿。然而，在2例患者中，通过腹部平片得以确诊。尽管所观察到的异常表现缺乏特异性，但在有腹膜炎、机械性肠梗阻或气腹体征的患者中，发现鸡骨伴有相关肿块或腔外气体聚集强烈提示诊断。酗酒史或佩戴假牙史则进一步支持该诊断。
