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X-ray pelvis showing a linear radio-opaque shadow in the right hemipelvis.
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A pelvis roentgenogram revealed a linear radiopaque shadow with a tapering end lying obliquely over the right hemipelvis ( Fig. 1 ).
Reconstructed image from a tomography scan of the pelvis demonstrating an obliquely placed foreign body, with metallic attenuation, traversing through the right obturator foramen and tip at S1-2 vertebral level.
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Anticipating the foreign body as metallic, the patient underwent a contrast-enhanced computed tomography with angiography of the abdomen and pelvis, which demonstrated a metallic attenuation foreign body in the intermuscular plane of the adductor compartment of the right thigh, traversing the right obturator foramen with its tip lying at S1-2 vertebral level adjacent to the ileal loops ( Fig. 2 ).
Laparoscopic view of the superior part of the foreign body that was hidden behind the adhered ileal loops.
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A careful adhesiolysis revealed a metallic foreign body in the region of the right obturator foramen ( Fig. 3 ), which was extracted through the right-sided 10 mm port.
Retrieved linear metallic foreign body that had a slender sharp-tip hook, and was identified as one of the handles of uterine tenaculum forceps.
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The RFB was identified as a 5-inch long fragment of the uterine tenaculum hook used in gynecological surgeries to manipulate the cervix ( Fig. 4 ).