PMC6157170_01
View of the abdomen at the opening of the peritoneum.
CRIS2018-2781353.001.jpg
PMC6157170_01_CRIS2018-2781353.001.jpg
fig1
Although each clinical finding suggested a colonic or caecum perforation, during the systematic exploration of the bowel loops, surgeons found free intestinal fluid in the abdomen, fecal peritonitis, and (at 60-70 from ileocaecal valve) a 3 cm linear tear of the ileum which was caused by the curve edge of a shell mussel (Figure 1).
Complete extraction of the foreign body.
CRIS2018-2781353.002.jpg
PMC6157170_01_CRIS2018-2781353.002.jpg
fig2
The foreign body was completely extracted from the lumen through the hole (Figure 2), and the breach was sutured with simple double-strand stitches of polyglactin 3/0 parallel to the bowel tearing.