BMJ Case Reports 2012; doi:10.1136/bcr.01.2012.5588
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The odd fate of a chicken dinner

  1. James Crosbie2
  1. 1Department of General Surgery, University College Hospital London, London, UK
  2. 2Department of Colorectal Surgery, University College London Hospital, London, UK
  1. Correspondence to Mr Tom Wiggins, thomas.wiggins{at}


A 75-year-old woman presented with a 3-day history of right iliac fossa (RIF) pain and vomiting. On examination she looked well, had normal observations, but exquisite tenderness in the RIF. Her medical history included open anterior resection for sigmoid adenocarcinoma, adhesiolysis and bilateral hip arthroplasties. CT abdomen/pelvis reported a metallic streak artefact related to the bilateral hip arthroplasties in the RIF, no evidence of perforation and faecal loading’. She was initially managed conservatively. The persistence and intensity of …

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