Open AccessIngested Sharp Bone Fragment: An Unusual Cause of Acute Bowel Obstruction- Case Report
Author(s) -
R Rangaswamy,
Samit Kumar Badai,
Sadyojata M Urugesan,
Chabungbam Gyan Singh,
Haobam Manihar Singh
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/16840.7297
Subject(s) - enterotomy , medicine , foreign body , ileum , emergency department , differential diagnosis , bowel obstruction , computed tomography , radiology , surgery , pathology , laparotomy , psychiatry
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.