PMC10378458_01
(A) Nonspecific abdominal bowel gas pattern and distribution with no radiological signs of intestinal obstruction or free intraperitoneal air. Radiopaque dated foreign body projects over the region of the midline in the pelvis (probably represent an external artifact well as indicated by arrows on the image). (B, C and D) The previously noted beaded foreign object is again seen suggesting it is intra-abdominal. There is mild dilatation of the proximal bowel loops with multiple air-fluid levels suggesting partial lower intestinal obstruction. Air was noted within the rectum. No pneumoperitoneum.
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The abdominal radiograph showed intra-abdominal foreign subjects with mild dilatation of the proximal bowel loops demonstrating multiple air-fluid levels suggesting partial lower intestinal obstruction (Figure 1B, C and D). The patient had a history of ingesting FB as there was a previous abdominal radiograph dated one year before this presentation (Figure 1A), where the patient reported to ED with similar symptoms, complaining of vomiting and abdominal pain.
PMC10378458_02
(A) Multiple rounded radiopaque foreign body is noted in the right lower quadrant suggestive of magnet toy, on lateral view it appears anterior in location and away from the rectum. No signs of bowel perforation or obstruction with severe noted constipation. (B) CT of the child showed an Impacted foreign body in the distal small bowel at the ileocecal junction with a proximal mild to moderate small bowel loop dilatation. No signs of free intraperitoneal air.
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Parents were instructed to be seen after 1 week when he has his x-ray repeated and it showed that the foreign body remained notable in the left iliac region, then the attending physician advised the parents to refer the patient to a tertiary hospital, so they came to KFMC where he was evaluated and found to have mild abdominal pain with no abdominal distention or tenderness, new abdominal X-ray was done which again showed a radio-opaque structure at the right lower quadrant of the abdomen (Figure 2A).
PMC10378458_03
Supine and decubitus views of abdominal X-ray of the child showed multiple magnets in the upper portion of small intestines.
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X-ray was done and showed multiple air-fluid levels with evident foreign bodies that looked like 6 magnetic balls (Figure 3).