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Reminder of important clinical lesson
Acute small bowel obstruction due to impacted bone: a case report
  1. Vasandhara Mahendrayogam1,
  2. Boby John Sebastian2,
  3. Emma Senior3,
  4. Neil Keeling2
  1. 1
    West Suffolk Hospital, Hardwick Lane, Bury St Edmunds IP33 2QZ, UK
  2. 2
    West Suffolk Hospital, Department of Surgery, Hardwick Lane, Bury St Edmunds IP33 2QZ, UK
  3. 3
    West Suffolk Hospital, Department of Radiology, Hardwick Lane, Bury St Edmunds IP33 2QZ, UK
  1. vasmahendra{at}hotmail.com

Summary

A 71-year-old man was admitted with features of intestinal obstruction. His past surgical history included an appendicectomy as a child and three laparotomies. A CT scan of the abdomen revealed a high attenuation foreign body impacted in the distal ileum, associated with small bowel obstruction. At laparotomy, a bone was removed from the terminal ileum.

https://doi.org/10.1136/bcr.08.2008.0633

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    Footnotes

    • Competing interests: none.

    • Patient consent: Patient/guardian consent was obtained for publication.