Presentation
Swallowed two separate fragments of glass from a broken bottle.
Patient Data
15 x 10 mm and 25 x 18 mm well-circumscribed radiopaque foreign bodies projected in the left upper quadrant (left lateral to L1-L2 disc space) and right lower quadrant (overlying the right iliac wing) respectively, consistent with swallowed pieces of glass. Right lower quadrant piece of glass likely lies within the proximal ascending colon, whilst the left upper quadrant piece may lie in the stomach or proximal small bowel.
No evidence of bowel obstruction or perforation.
Single fragment of glass retrieved by endoscopist whilst performing gastroscopy. The shape and size of the fragment corresponds to the radiopaque foreign body in the LUQ on the AXR.
Case Discussion
Although a patient presenting having swallowed fragments of glass is somewhat alarming, it is fortunate that most pieces pass through the body without any deleterious sequelae.
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