Silent gastroduodenal perforations resulting from ingested chicken bone: presentation of two cases

In approximately 80 per cent of cases, the ingested material passes uneventfully through the gastrointestinal tract.2 Endoscopy is performed in ap- proximately 20 per cent of cases to remove the foreign body and surgery in less than one per cent of cases.1 However, recent studies have shown that in the setting of intentional ingestion, the rate of endoscopic in- tervention may be much higher (63 to 76%) and the need for surgical intervention ranges from 12 to 16 per cent.2, 3 Close observation is the management of choice when ingested foreign bodies are known. [...]silent perforation of the stomach or duodenum from ingested foreign bodies is not com- monly addressed.