Small bowel obstruction secondary to foreign body perforation

Case contributed by Benjamin Pereira Zimmermann


Abdominal pain, distention, and vomiting,

Patient Data

Age: 80 years
Gender: Male

Pathologic distention of the small bowel is shown.  A caliber change between left flank and iliac fossa is noticed after which small bowel loops are collapsed. At this point, there is also linear hyperdensity with bowel wall thickening and fat stranding. Also note feces sign in the immediately proximal small bowel. 

Annotated image

Foreign Body

The foreign body is illustrated. It perforates the bowel wall, but no pneumoperitoneum is seen. 

Photo demonstrating the appearance and size of foreign body removed at operation.

Case Discussion

Small bowel obstruction secondary to foreign body perforation.

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Case information

rID: 77409
Published: 28th May 2020
Last edited: 18th Aug 2020
Inclusion in quiz mode: Included

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