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Plain abdominal X-ray showing swallowed spoon.
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Complete blood count was in the normal range and a plain abdominal radiograph revealed a metallic foreign body (spoon) in the mid-abdomen (Figure 1).
Metallic spoon removed from doudeno-jejunal junction.
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Hence, an exploratory laparotomy was done which revealed an 11 cm long metallic spoon (Figure 2) impacted at duodeno-jejunal junction with walled off perforation and erosion of the mesentery of the colon (splenic flexure).
Repaired perforation site (DJ junction).
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Necrotic edges were refreshed and a double layer Heineke-Mikulicz type repair was done (Figure 3).