Presentation
Progressively worsening abdominal pain over past few weeks.
Patient Data
Age: 80 years
Gender: Male
From the case:
Small bowel perforation - ingested bone
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3 cm in length linear, dense foreign body within the loop of small bowel in the right mid abdomen, nearly traversing the wall. Adjacent to this are a few locules of extraluminal air with small amount of fluid.
Prior right hemicolectomy. No other acute findings.
Case Discussion
This case provides a great example of small bowel perforation due to foreign body. The appearance of the foreign body is characteristic of perforation by a thin bone fragment (most commonly a fish or chicken bone). Curiously, no foreign body was identified at the time of gross pathology, however, the CT findings of foreign body perforation are very convincing.
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