title: Ingested Sharp Bone Fragment: An Unusual Cause of Acute Bowel Obstruction- Case Report.
abstract: Acute bowel obstruction due to ingested foreign body (FB) like sharp bone fragment is a rare entity. As preoperative diagnosis was uncertain due to lack of proper history, diagnosis is usually done intraoperatively. Even though it is rare, we should consider it as differential diagnosis in patients with recent dietary history. Herein, we are reporting a 38-year-old man, without any psychiatric illness or previous surgery presenting to emergency department with the features of acute bowel obstruction. CT scan shows high density object in ileum suspicious of foreign body. Patient underwent exploratory laparatomy which reveals dilated small bowel with sharp bony object in ileum, which was retrieved with enterotomy.
authors.affiliation: Junior Resident, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Raju
authors.initials: R
authors.lastname: Rangaswamy
authors.affiliation: Junior Resident, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Samit Kumar
authors.initials: SK
authors.lastname: Badai
authors.affiliation: Junior Resident, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Sadyojata M
authors.initials: SM
authors.lastname: Urugesan
authors.affiliation: Assistant Professor, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Chabungbam Gyan
authors.initials: CG
authors.lastname: Singh
authors.affiliation: Professor, Department of Surgery, Regional Institute of Medical Sciences , Imphal, Manipur, India .
authors.forename: Haobam Manihar
authors.initials: HM
authors.lastname: Singh
keywords: Acute bowel obstruction; Enterotomy; Exploratory laparotomy