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Age: 1

Sex: Female

Indication: ? Swallowed Lego piece

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Case #18


Findings

  • No radiopaque foreign body
  • Marked distension of the stomach with air-fluid level on upright projection
  • Otherwise nonobstructive bowel gas pattern with a large rectal stool burden
  • No evidence of free intraperitoneal air
  • No abnormal intraabdominal mass effect or calcification


Diagnosis

  • Ingested radiolucent foreign body

Sample Report

No radiopaque foreign body. However, marked distension of the stomach with air-fluid level on upright projection raises concern for an obstructing radiolucent foreign body (such as a Lego piece).

Otherwise nonobstructive bowel gas pattern with a large rectal stool burden.

No evidence of free intraperitoneal air.

No abnormal intraabdominal mass effect or calcification.


Discussion

  • Sometimes you can only see secondary signs of ingested foreign bodies
  • Don’t forget foreign bodies as a cause for bowel obstruction in children



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