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A ring-shaped gas sign: a case of the accidental ingestion of a press-through package
Dai Kubota1,2, Yosuke Tsuji3,4, Yoku Hayakawa2
1Next-Generation Endoscopic Computer Vision, Graduate School of Medicine, The University of Tokyo, 7-3-1, Hongo, Bunkyo-Ku, Tokyo, 113-8655, Japan.
Abstract:
This case report presents a common but instructive clinical scenario of accidental ingestion of a press-through package. Despite an initial negative chest X-ray and mild symptoms, the diagnosis was confirmed with additional computed tomography. The patient was eventually went through the successful endoscopic removal of the press-through package. Furthermore, a retrospective re-reviewing of the X-ray revealed a faint ring-shaped gas sign, characteristic of press-through package ingestion. This case underscores the intractableness to diagnosis of accidental ingestion of press-through package by only X-rays in real time and the potential role of computed tomography in ensuring timely diagnosis and treatment.
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