PMC4633741_01
(A) supine abdominal x-ray, January 2014; (B) lateral abdominal x-ray, April 2015
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An abdominal x-ray was taken in supine position (Figure 1 A). A lateral abdominal x-ray revealed an image that made us suspect of a possible glass shard as cause of the pain (Figure 1 B).
(A) abdominal CT scan: posterior end of the shard next to the spleen; (B) arrow points at the retroperitoneum scar, where the glass shard impaled the patient
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A CT scan was made and a very large glass shard was found inside the colon, just next to the pancreas, the left kidney and the spleen (Figure 2).
(A) glass shard extraction; (B) perforation on the antimesenteric edge of the transverse colon
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Beneath the muscle we just felt the glass, and extracted it with no difficulty under visual control of the colon (Figure 3 A). The perforation was on the antimesenteric edge of the colon (Figure 3 B) and we closed it with a lineal stapler.