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Intestinal Perforation by an Ingested Bone Fragment: A Case Report

Introduction: The ingestion of a foreign body is most often accidental. The main complication is intestinal 
perforation. We report a case of intestinal perforation by ingestion of a bone fragment. 
Case Report: It was a 45-year-old man, who was received for abdominal pain of second right flank and 
vomiting. Physical examination found abdominal tenderness predominant in the right lower quadrant. The 
CT scan showed fluid peritoneal effusion with pneumoperitoneum with a bone fragment in the lumen of the 
distal ileum. An intestinal resection removing the perforation followed by an end to end anastomosis was 
performed favorably. 
Conclusion: Intestinal perforation is a serious complication of ingested foreign bodies. The diagnosis is 
improved by CT scan. The treatment is surgical.