Small bowel obstruction secondary to foreign body perforation

Case contributed by Benjamin Pereira Zimmermann
Diagnosis certain

Presentation

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. 

Foreign Body

Annotated image

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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.