Sigmoid perforation due to accidental ingestion of food bone

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Severe pain with tenderness in the left iliac fossa.

Patient Data

Age: 55 years
Gender: Female

There is a linear opaque foreign body (length = 16 mm), perforating the sigmoid wall which appears thickened with severe perisigmoid fat stranding, extraluminal gas, and thickening of the adjacent peritoneal reflections.

Malrotated right kidney.

Case Discussion

CT features a foreign body perforating the sigmoid colon with signs of focal peritonitis. The patient confirms that she had ingested accidentally a food bone a few days ago.

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