Presentation
Diffuse abdominal pain, no fever or diarrhea then suddenly became severe pain along with a tender abdomen.
Patient Data
There is a linear, irregular, hyperdense structure seen in the distal jejunal loop on the right side that seems to partially pierce the wall. It is associated with fat stranding and adjacent prominent mesenteric lymph nodes. Raising the possibility of foreign body ingestion with possible perforation.
No free fluid or pneumoperitoneum.
No bowel dilatation.
The gallbladder appears septated with multiple stones.
A tiny renal cortical cyst was seen in the upper pole of the right kidney.
After 24 hours, the patient developed severe abdominal pain and a tender abdomen. Abdomen CT with IV and rectal contrast were given.
Technique: IV and rectal contrast were given.
The previously mentioned linear irregular hyperdense structure is now seen in the proximal ileal loop on the left side, which seems to partially pierce the wall. It is associated with focal wall thickening, fat stranding, and adjacent prominent mesenteric lymph nodes. Raising the possibility of foreign body ingestion with possible perforation.
No free fluid or pneumoperitoneum.
No bowel dilatation.
The gallbladder appears septated with multiple stones.
A tiny renal cortical cyst was seen in the upper pole of the right kidney.
Urgent laparotomy was done and the foreign body was removed.
The foreign body was dental wire
Case Discussion
A case of foreign body ingestion causing bowel perforation and the foreign body was a dental wire .
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