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Small Bowel Obstruction Caused by a Rare Foreign Body: A Case Report and Literature Review
1Radiology Department, Luxian People's Hospital, 646100 Luxian, Sichuan, P.R. China.
Background:
Ingestion of gastrointestinal foreign bodies (FB) is a common clinical problem worldwide. Approximately 10-20% of FBs require an endoscopic procedure for removal, and < 1% require surgery.
Case Description:
An 89-year-old male with Alzheimer's disease was hospitalized because of abdominal pain, abdominal distention, vomiting for three days, and cessation of bowel movements for six days. Abdominal computed tomography (CT) scan showed a small intestinal obstruction and an atypical FB in the small intestine. A pill and remaining plastic casing were removed from the small intestine during surgery. FB is a square with four sharp acute angles at its edge. The patient was discharged after two weeks of treatment, and no recurrence or complications were observed during the 6- month follow-up.
Conclusion:
Atypical intestinal FBs may cause misdiagnosis and easily lead to serious complications. Therefore, an appropriate radiological examination, such as CT, is necessary for unexplained intestinal obstruction. Symptomatic intestinal FBs should be actively removed to avoid serious complications.
.Insights
A rare case of intestinal obstruction caused by an atypical foreign body (FB) highlights the need for prompt diagnosis and removal. Early identification and intervention are crucial for managing gastrointestinal FB complications.
Area of Science:
- Gastroenterology
- Radiology
Background:
- Ingestion of gastrointestinal foreign bodies (FB) is a frequent global clinical issue.
- While most FBs are managed non-surgically, 10-20% necessitate endoscopic removal, and less than 1% require surgery.
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