title: Small bowel obstruction secondary to migration of a fragment of lithobezoar: a case report.
abstract: BACKGROUND
  Small bowel obstruction is a common world-wide condition that has a range of etiological factors. The management is largely dependent on the cause of the obstruction. Small bowel obstruction caused by foreign body ingestion is rare; many items have been reported as responsible, but there are no reports implicating polyurethane foam.
  
  
  METHODS
  We report the case of a 44-year-old Irish male who presented following ingestion of polyurethane foam. He was asymptomatic on presentation but developed a small bowel obstruction shortly thereafter.
  
  
  CONCLUSIONS
  Patients presenting following ingestion of polyurethane foam should be scheduled for elective laparotomy, gastrotomy, and retrieval of the cast on the next available theatre list - given that they are suitable for surgery.
authors.affiliation: Department of Surgery & Radiology, Mid-Western Regional Hospital, Limerick, Ireland.
authors.forename: Mekki
authors.initials: M
authors.lastname: Medani
authors.forename: Eddie
authors.initials: E
authors.lastname: Myers
authors.forename: Bryan
authors.initials: B
authors.lastname: Kenny
authors.forename: David
authors.initials: D
authors.lastname: Waldron