{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:20:01Z","timestamp":1769127601815,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T00:00:00Z","timestamp":1768867200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100002947","name":"Anhui Medical University","doi-asserted-by":"publisher","award":["2022xkj129"],"award-info":[{"award-number":["2022xkj129"]}],"id":[{"id":"10.13039\/501100002947","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This case describes a 72\u2010h asymptomatic migration of a 3.3\u2009cm duck bone culminating in rectal impaction that triggered severe anal pain. Despite many sharp objects causing perforation within 24\u2009h, this patient experienced no symptoms until sudden anal pain after 72\u2009h. Computed X\u2010ray tomography scan (CT) confirmed rectal impaction without perforation, and colonoscopy revealed longitudinal impaction 5\u2009cm from the anal verge. Endoscopic extraction was performed, after which a superficial mucosal injury (approximately 0.3\u2009cm\u2009\u00d7\u20090.15\u2009cm) at the impaction site was visualized, with immediate pain resolution. The favorable outcome is attributed to persistent longitudinal orientation minimizing penetration forces and distal rectal impaction where thicker musculature and sparse vasculature provided anatomical protection. We emphasize detailed dietary history review for acute anal pain and propose risk\u2010stratified management for asymptomatic ingestion: close radiographic surveillance for low\u2010risk objects, early endoscopic retrieval for high\u2010risk objects, and surgical intervention if endoscopy fails or is not feasible.<\/jats:p>","DOI":"10.1002\/ccr3.71845","type":"journal-article","created":{"date-parts":[[2026,1,20]],"date-time":"2026-01-20T12:33:31Z","timestamp":1768912411000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rectal Impaction of a Migratory Duck Bone After 72 Asymptomatic Hours: A Defused Time Bomb"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6829-6544","authenticated-orcid":false,"given":"Zhengyuan","family":"Cheng","sequence":"first","affiliation":[{"name":"Department of Gastroenterology Maanshan Clinical School of Anhui Medical University (Maanshan People's Hospital)  Maanshan Anhui China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiajun","family":"He","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Maanshan Clinical School of Anhui Medical University (Maanshan People's Hospital)  Maanshan Anhui China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Maanshan Clinical School of Anhui Medical University (Maanshan People's Hospital)  Maanshan Anhui China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Honglei","family":"Ju","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Maanshan Clinical School of Anhui Medical University (Maanshan People's Hospital)  Maanshan Anhui China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuangjing","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Maanshan Clinical School of Anhui Medical University (Maanshan People's Hospital)  Maanshan Anhui China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Maanshan Clinical School of Anhui Medical University (Maanshan People's Hospital)  Maanshan Anhui China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haitao","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Maanshan Clinical School of Anhui Medical University (Maanshan People's Hospital)  Maanshan Anhui China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yingzhou","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Maanshan Clinical School of Anhui Medical University (Maanshan People's Hospital)  Maanshan Anhui China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-022-04230-7"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800650103"},{"key":"e_1_2_11_4_1","doi-asserted-by":"crossref","DOI":"10.3390\/medicina59091504","article-title":"Two Cases of Severe Complications due to an Esophageal Fish Bone Foreign Body","volume":"59","author":"Han J. H.","year":"2023","journal-title":"Medicina (Kaunas, Lithuania)"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-100456"},{"issue":"6","key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1016\/j.gie.2010.11.010","article-title":"Management of Ingested Foreign Bodies and Food Impactions","volume":"73","author":"ASGE Standards of Practice Committee","year":"2011","journal-title":"Gastrointestinal Endoscopy"},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","DOI":"10.1177\/11795476211025919","article-title":"Intentional Ingestion of a Metallic Wire Causing Perforation and Retroperitoneal Abscess: A Case Report","volume":"14","author":"Tavallaei M.","year":"2021","journal-title":"Clinical Medicine Insights. Case Reports"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2022.07.108"},{"key":"e_1_2_11_9_1","doi-asserted-by":"crossref","DOI":"10.1093\/gastro\/goaf035","article-title":"Clinical Features and Endoscopic Management of Sharp Wooden Object Ingestions: A Systematic Review of 479 Cases","volume":"13","author":"Chen K.","year":"2025","journal-title":"Gastroenterology Report (Oxford)"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ueg2.12505"},{"key":"e_1_2_11_11_1","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.ijscr.2019.11.010","article-title":"Endoscopic Management of Gastric Perforation Secondary to Chicken Bone: A Report of 2 Cases","volume":"65","author":"Sidiqi M. M.","year":"2019","journal-title":"International Journal of Surgery Case Reports"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2024.110284"},{"issue":"6","key":"e_1_2_11_13_1","doi-asserted-by":"crossref","first-page":"E812","DOI":"10.1055\/a-2330-9803","article-title":"A New Through\u2010The\u2010Scope Clip With Anchor Prongs Is Safe and Successful for a Variety of Endoscopic Uses","volume":"12","author":"Guardiola J. J.","year":"2024","journal-title":"Endoscopy International Open"},{"issue":"7","key":"e_1_2_11_14_1","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.3748\/wjg.v29.i7.1173","article-title":"Choosing the Best Endoscopic Approach for Post\u2010Bariatric Surgical Leaks and Fistulas: Basic Principles and Recommendations","volume":"29","author":"Oliveira V. L.","year":"2023","journal-title":"World Journal of Gastroenterology"},{"issue":"1","key":"e_1_2_11_15_1","doi-asserted-by":"crossref","DOI":"10.1186\/s12876-021-01959-3","article-title":"Clinical Outcomes of Endoscopic Removal of Foreign Bodies From the Upper Gastrointestinal Tract","volume":"21","author":"Yoo D. R.","year":"2021","journal-title":"BMC Gastroenterology"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-023-03578-8"},{"issue":"6","key":"e_1_2_11_17_1","doi-asserted-by":"crossref","first-page":"4136","DOI":"10.21037\/jtd-2025-758","article-title":"Esophageal Foreign Bodies: A Retrospective Analysis of 275 Cases","volume":"17","author":"Liu B.","year":"2025","journal-title":"Journal of Thoracic Disease"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-019-0245-2"},{"issue":"6","key":"e_1_2_11_19_1","doi-asserted-by":"crossref","DOI":"10.21037\/atm-21-829","article-title":"The Removal of Foreign Body Ingestion in the Upper Gastrointestinal Tract: A Retrospec\u2010Tive Study of 1182 Adult Cases","volume":"9","author":"Wang X.","year":"2021","journal-title":"Annals of Translational Medicine"},{"issue":"7","key":"e_1_2_11_20_1","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1136\/flgastro-2020-101450","article-title":"Foreign Body Ingestion: Dos and Don'ts","volume":"12","author":"Becq A.","year":"2020","journal-title":"Frontline Gastroenterology"},{"issue":"50","key":"e_1_2_11_21_1","first-page":"869","article-title":"Swallowed Foreign Bodies in Adults","volume":"109","author":"Ambe P.","year":"2012","journal-title":"Deutsches \u00c4rzteblatt International"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v12.i11.1990"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71845","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.71845","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71845","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T07:16:37Z","timestamp":1769066197000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71845"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":21,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1002\/ccr3.71845"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71845","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-09-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71845"}}