Waxing and Waning Intensity Abdominal Pain for 3 Days
Case History: 58-year-old male with 3-day history of waxing and waning intensity abdominal pain.
Case History:Â A 58-year-old male presented with history of abdominal pain for 3 days with waxing and waning intensity, worse to the left of the umbilicus.
Volumetric CT performed following intravenous and enteral contrast administration.
Figure 1. Axial reconstructions reveal the presence of the thin elongated foreign body within the left paramedian anterior abdominal soft tissues penetrating the wall of a segment of the small bowel with a small amount of soft tissue gas alongside the foreign body and surrounding soft tissue inflammation of the omental fat just posterior to the left abdominis rectus muscle.
Figure 2. Axial reconstructions reveal the presence of the thin elongated foreign body within the left paramedian anterior abdominal soft tissues penetrating the wall of a segment of the small bowel with a small amount of soft tissue gas alongside the foreign body and surrounding soft tissue inflammation of the omental fat just posterior to the left abdominis rectus muscle.
Figure 3. Oblique coronal reconstructions were generated and clearly demonstrate a thin, elongated, opaque foreign body which perforates a segment of the small bowel with adjacent surrounding inflammatory changes.
Figure 4. Oblique coronal reconstructions were generated and clearly demonstrate a thin, elongated, opaque foreign body which perforates a segment of the small bowel with adjacent surrounding inflammatory changes.
Figure 5. Oblique coronal reconstructions were generated and clearly demonstrate a thin, elongated, opaque foreign body which perforates a segment of the small bowel with adjacent surrounding inflammatory changes.
Diagnosis: Swallowed wooden toothpick