Small bowel obstruction due to inflammation secondary to ingested bone.
We report the CT appearances of an ingested pork bone in the lumen of small bowel in a 66-year-old man with an intact and virgin gastrointestinal tract. CT scan demonstrated the site of obstruction at distal jejunum with associated irregular narrowing and proximal small bowel dilatation as well as the bone lodged in the non-dilated terminal ileum. Laparotomy and histology of the resected small bowel confirmed the CT appearances that the obstruction was caused by adhesions and extensive inflammation across the bowel wall in the distal jejunum from trauma as the bone traversed down the lumen. We believe that this is the first reported preoperative CT scan finding of a case of small bowel obstruction due to adhesions and inflammation secondary to ingested bone.
Bandyopadhyay
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Department of Surgery, Airedale General Hospital, Skipton Road, Steeton, BD20 6TD, West Yorkshire, UK. dbanerjee@blueyonder.co.uk
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D000368:Aged; D001842:Bone and Bones; D003287:Contrast Media; D005547:Foreign Bodies / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D007421:Intestine, Small; D008297:Male; D014057:Tomography, X-Ray Computed
D003287:Contrast Media