Evidence map›Paper›PMID 40735063›Full record

ArticleRadiology case reports2025

Bone in emergency room: Not only a skeletal problem! A rare case of accidental chicken bone ingestion in the afferent loop following Billroth II partial gastrectomy.

Consolato Gullì, Mario Di Diego, Giorgio Mazzotta, Giuseppe Cicchetti, Daniele Perla, Maria Elena Riccioni, Roberto Calbi, Natale Luigi

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Consolato GullìAdvanced Radiology Center, Department of Diagnostic Imaging and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Mario Di DiegoAdvanced Radiology Center, Department of Diagnostic Imaging and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Giorgio MazzottaAdvanced Radiology Center, Department of Diagnostic Imaging and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Giuseppe CicchettiAdvanced Radiology Center, Department of Diagnostic Imaging and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Daniele PerlaAdvanced Radiology Center, Department of Diagnostic Imaging and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Maria Elena RiccioniDigestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli, Università Cattolica del Sacro Cuore, Largo Agostino Gemelli, Rome, Italy.
Roberto CalbiDepartment of Radiology, Ospedale Regionale Miulli, Bari, Italy.
Natale LuigiAdvanced Radiology Center, Department of Diagnostic Imaging and Radiation Oncology, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report the case of a 58-year-old male with prior Billroth II gastrectomy who presented with worsening abdominal pain. Contrast-enhanced CT revealed a hyperdense, corticated, triangular-shaped foreign body (FB), consistent with a chicken bone, which had undergone retrograde migration and become impacted in the afferent duodenal loop. The FB's orientation and location were precisely characterized, with associated inflammatory changes but no perforation. Push enteroscopy confirmed and successfully removed the FB. Post-procedural imaging excluded complications. This case highlights the diagnostic value of CT in identifying ingested FBs and illustrates the exceptional risk of retrograde FB migration and potential perforation in the afferent loop following Billroth II surgery.

Indexed as

Billroth II gastrectomyChicken boneComputed tomography (CT)Emergency radiologyForeign body ingestionPush enteroscopy

Identifiers

PMID40735063
PMCPMC12305705

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.