{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T22:32:53Z","timestamp":1769639573075,"version":"3.49.0"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":27,"URL":"https:\/\/creativecommons.org\/licenses\/by\/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"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction and Importance<\/jats:title>\n                    <jats:p>Enterocutaneous fistulas (ECFs) caused by ingested foreign bodies are extremely rare. Accurate fistula localization is essential for guiding management, especially in comorbid patients at high surgical risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report a 76\u2010year\u2010old woman who developed an ECF secondary to a swallowed chicken bone. Initial imaging suggesting a high small\u2010bowel fistula and severe peristomal skin breakdown prompted consideration of surgery. Extended conservative management allowed skin healing, and follow\u2010up imaging revealed a more distal fistula, supporting continuation of nonsurgical management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Discussion<\/jats:title>\n                    <jats:p>Management of ECF is challenging due to morbidity from intestinal failure, electrolyte disturbances, sepsis, and skin damage. Optimal care requires multidisciplinary strategies guided by sepsis control, nutritional support, anatomical assessment, and procedure planning (SNAP framework).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case highlights the importance of individualized management and careful assessment of fistula location. It also illustrates that prolonged conservative management can achieve acceptable outcomes in high\u2010risk patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/cris\/7208736","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T10:40:57Z","timestamp":1769596857000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Enterocutaneous Fistula Caused by an Ingested Chicken Bone in an Adult: A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-1101-0107","authenticated-orcid":false,"given":"T. B.","family":"S\u00f8rensen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2324-4353","authenticated-orcid":false,"given":"M. W.","family":"\u00d8rntoft","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8214-4125","authenticated-orcid":false,"given":"C.","family":"Jaensch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-022-02656-3"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14072327"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izab118"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13126-018-0434-6"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/jfmpc.jfmpc_132_18"},{"key":"e_1_2_13_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/IPC.0b013e3182602038"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/gastro\/goaf035"},{"key":"e_1_2_13_8_2","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1055\/s-0036-1580732","article-title":"Enterocutaneous Fistula: Proven Strategies and Updates","volume":"29","author":"Gribovskaja-Rupp I.","year":"2016","journal-title":"Clinics in Colon and Rectal Surgery"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.17186"},{"key":"e_1_2_13_10_2","doi-asserted-by":"publisher","DOI":"10.12968\/gasn.2019.17.4.36"},{"key":"e_1_2_13_11_2","first-page":"46","article-title":"Implementing a Pro-Forma for Multidisciplinary Management of an Enterocutaneous Fistula: A Case Study","volume":"61","author":"Samad S.","year":"2015","journal-title":"Ostomy Wound Manage"},{"key":"e_1_2_13_12_2","doi-asserted-by":"publisher","DOI":"10.18203\/2349-2902.isj20233350"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cris\/7208736","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/cris\/7208736","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/cris\/7208736","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T10:40:58Z","timestamp":1769596858000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/cris\/7208736"}},"subtitle":[],"editor":[{"given":"Paola","family":"De Nardi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/cris\/7208736"],"URL":"https:\/\/doi.org\/10.1155\/cris\/7208736","archive":["Portico"],"relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-09-26","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7208736"}}