VideoGIE| Volume 84, ISSUE 3, P535-536, September 2016

Download started.


Impacted chicken bone extracted with the aid of Nd:YAG laser

Published:March 25, 2016DOI:
      Chicken bone impaction in the colon is uncommon. We present a case of endoscopic chicken bone extraction with the aid of Nd:YAG laser. An 84-year-old woman presented with episodic lower abdominal pain. There was no history of foreign body ingestion. Initial colonoscopy identified a 3-cm × 4-cm V-shaped chicken bone impacted into opposite walls of the sigmoid colon. A CT scan was performed to assess the depth of the chicken bone penetration. A full-thickness perforation was excluded, and there was no associated pericolonic collection (Fig. 1A). A repeat colonoscopy was scheduled to remove the bone (Video 1, available online at Because the chicken bone was impacted into opposite walls of the colon, it was decided to cut the bone into 2 pieces using Nd:YAG laser before removal. The 2 resultant pieces were retrieved with rat-tooth grasping forceps (Fig. 1B). Reinspection of the colon showed no evidence of perforation. A follow-up enema with contrast medium excluded a leak, and the patient was discharged home. There was complete resolution of the patient’s symptoms after chicken bone removal. Follow-up colonoscopy at 3 months showed mild granulation tissue reaction at the site.
      Figure thumbnail gr1
      Figure 1A, Abdominal CT showing the impacted chicken bone. B, Extracted chicken bone.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Gastrointestinal Endoscopy
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect