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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 www.giejournal.org). 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.