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Small bowel obstruction due to inflammation secondary to ingested bone.
D Bandyopadhyay1, C S Orgles, E P Dewar
1Department of Surgery, Airedale General Hospital, Skipton Road, Steeton, BD20 6TD, West Yorkshire, UK. dbanerjee@blueyonder.co.uk
Emergency Radiology
|September 1, 2005
Summary
A man experienced small bowel obstruction from an ingested pork bone. Computed tomography (CT) accurately identified the bone causing adhesions and inflammation, leading to the obstruction.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Pathology
Background:
- Small bowel obstruction is a common surgical emergency.
- Ingested foreign bodies are a rare cause of small bowel obstruction, especially in patients with an intact gastrointestinal tract.
Observation:
- A 66-year-old male presented with symptoms of small bowel obstruction.
- Computed tomography (CT) revealed a pork bone lodged in the distal jejunum, causing obstruction.
- Proximal small bowel dilatation and distal ileal impaction of the bone were noted.
Findings:
- Surgical exploration and histological examination confirmed the CT findings.
- The obstruction was attributed to adhesions and transmural inflammation in the distal jejunum, secondary to the passage of the ingested bone.
- This represents the first reported case of preoperative CT findings in small bowel obstruction caused by adhesions and inflammation from an ingested bone.
Implications:
- CT imaging is crucial for diagnosing small bowel obstruction due to ingested foreign bodies.
- Early diagnosis and surgical intervention are essential for managing such cases.
- This case highlights the importance of considering unusual etiologies for small bowel obstruction.