PMC6831801_01
Findings from the computed tomography scan of the abdomen in Case 1.. (a) A linear hyperdense foreign body (FB) inside the ileal lumen and free abdominal air adjacent to the FB (arrow).. (b) Ascites around the liver (arrow) and the spleen (arrowhead).. (c) Ascites in the pelvic cavity (arrow).
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Computed tomography (CT) scan revealed a linear 35-mm hyperdense FB inside the ileal lumen, which had pierced the ileal wall at both ends (Fig. 1a). Additionally, free abdominal air adjacent to the FB and ascites around the liver, spleen, and in the pelvic cavity were observed (Fig. 1a, b, c).
Intraoperative photograph and macroscopic findings in Case 1.. (a) Intraoperative photograph showing turbid ascites and a foreign body (FB) piercing the ileal wall.. (b) The perforation site was exteriorized via mini-laparotomy.. (c) The FB was identified to be a fish bone.
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Laparoscopic observation revealed turbid ascites spreading extensively in the abdominal cavity (Fig. 2a). The small bowel was traced using the forceps and the FB perforation site was detected (Fig. 2a). Subsequently, the site was grasped and exteriorized via mini-laparotomy (Fig. 2b). An approximately 35-mm sharp fish bone was extracted from the resected ileum (Fig. 2c).
PMC6831801_02
Findings from the radiograph and computed tomography (CT) scan of the abdomen in Case 2.. (a) Radiograph showing a denture in the lower abdomen.. (b) The denture was imaged as a hyperdense foreign body (FB) in the CT scan.. (c) Abdominal free air (arrow) near the FB.. (d) Ascites in the pelvic cavity (arrow).
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Radiography and CT scan revealed a hyperdense FB corresponding to the ingested denture in the lower abdomen (Fig. 3a, b). Additionally, CT scan revealed free abdominal air near the denture and ascites in the pelvic cavity (Fig. 3c, d).
Intraoperative photograph and macroscopic findings in Case 2.. (a, b) Intraoperative photograph showing the remarkably swollen part of the ileum (arrow) and perforation caused by a metallic component of the denture (arrowhead).. (c) The perforation site was exteriorized via mini-laparotomy.. (d) Dissection of the affected ileum revealed impaction of the denture in the ileal lumen.
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Tracing of the small bowel revealed a remarkably swollen part of the ileum, which appeared to contain the denture (Fig. 4a) and perforation caused by the metallic component of the denture (Fig. 4b). Subsequently, the swollen ileum was exteriorized by mini-laparotomy (Fig. 4c). Dissection of the affected ileum revealed impaction of the denture in the ileal lumen (Fig. 4d).