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PMC2938829_02
(a) Abdominal X-ray. No free intra-abdominal air. Note IUCD in RIF. (b) CT scan of the abdomen.
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fig1
Her abdominal radiograph (AXR) taken on presentation is shown in Figure 1(a). IUCD was noted. In light of the clinical and radiological findings, computed tomography was performed (see Figure 1(b)).
(a) Intra-operative photograph showing migratory "Saf-T-Coil" IUCD, with each arm wrapped around a loop of mid ileum. (b) Operative note depicting configuration of "Saf-T-Coil" IUCD causing closed loop bowel obstruction. (c) Resected specimen-ischaemic loop of small bowel. (d) Obstructing "Saf-T-Coil" IUCD removed from abdomen.
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fig2
IUCD, and the patient underwent laparotomy to relieve the obstruction. Intraoperative findings are depicted in Figure 2.