PMC3377018_01
Abdominal radiograph showed a relative paucity of gas in the gut. The faint radio-density (arrow) which represented the foreign body was noted retrospectively.
JFCM-16-33-g001.jpg
PMC3377018_01_JFCM-16-33-g001.jpg
F1
The suspicion of a faint radio-density projecting over the stomach was seen retrospectively following the results of the abdominal sonography (Figure 1).
Abdominal sonogram demonstrated the presence of a small echogenic structure casting an acoustic shadow localized to the region of the pylorus. The structure appeared to be creating a gastric outlet obstruction as evidenced by a massively distended fluid filled stomach.
JFCM-16-33-g002.jpg
PMC3377018_01_JFCM-16-33-g002.jpg
F2
The structure was obstructing the gastric outlet (Figure 2) as evidenced by a distended fluid filled stomach.
On upper gastroscopy, the stomach looked normal but hugely dilated with a foreign body partly impacted in the pyloric channel. The major part of the foreign body was lodged in the stomach
JFCM-16-33-g003.jpg
PMC3377018_01_JFCM-16-33-g003.jpg
F3
The procedure revealed a normal but hugely dilated stomach with a funnel-shaped plastic foreign body impacting and completely obstructing the pylorus (Figure 3).
Extracted specimen was identified as a plastic funnel-shaped structure, pink in color measuring 2.3x2x2 cm with bite marks.
JFCM-16-33-g004.jpg
PMC3377018_01_JFCM-16-33-g004.jpg
F4
The foreign body was extracted (Figure 4) with a snare and forceps.