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Acute abdomen due to perforation of colon by ingested chicken bone: diagnosis and endoscopic treatment. Management of anorectal foreign bodies: a cause of obscure anal pain. He was therefore discharged. Author information Copyright and License information Disclaimer. Chicken bone has been reported to cause perforation of small bowel leading to peritonitis 2 and cases of internal fistulas secondary to swallowed bones including colovesical fistulas have been reported 3.

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Fistula-in-ano has also been known to contain calculi 5 , 6.

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At a scheduled fistulotomy, a direct fistula track with an intervening abscess cavity containing an undigested bone was found. On examination she looked healthy and all systems were normal. A 20 years old female house help presented to the same surgical clinic with anal pain, bleeding per rectum and recurrent swelling around the anus of six months duration.

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