Year: 2026
Type: article
Study design: Case Report
Abstract: Foreign body ingestion can lead to life-threatening complications, including colonic perforation, especially with sharp-pointed objects. We detail an unusual case of a male patient in his seventies who presented with left lower quadrant abdominal pain and diarrhea, found to be secondary to a sharp foreign body ingestion, a wishbone. This finding led to a diagnosis of sigmoid adenocarcinoma, followed by colonic perforation weeks after an unsuccessful endoscopic removal attempt and prior to planned surgical intervention. He underwent exploratory laparotomy with wishbone removal, sigmoid colectomy, and diverting loop ileostomy. He was discharged to a skilled nursing facility for postoperative recovery with vacuum-assisted midline incision therapy. Our case is one of the few to detail a malignant mass causing colonic foreign body impaction with attempted endoscopic intervention, highlighting the intricacies of managing foreign body ingestion with endoscopic versus surgical intervention.
Source: Cureus
Authors: Natalie Rosseau, Hannah Zuercher, Ahmed Al Qady, Anand Gupte, John Lieb
Institutions: University of Florida Health, University of Florida
Language: English
Topic: Foreign Body Medical Cases
Subfield: Radiology, Nuclear Medicine and Imaging
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7166646856