EURORAD ESR

Case 8978

A case of small bowel perforation due to a fish bone (ESGAR 2010 Case of the day)

Author(s)
Kalogeropoulou C, Kraniotis P, Zampakis P, Petsas T.
University Hospital of Patras, Department of Radiology, Patras, Greece.
 
Patient
male, 76 year(s)
 
 
  • Figure 1
    Axial CECT mid-abdominal images from above to below.
     

    There is a free intraperitoneal air bubble (red arrow), in the left lateral mid-abdominal region. Note the presence of a small nearby fluid collection (blue arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT;

    Free intraperitoneal air is more evident in this image (red arrow), along with the adjacent fluid collections (blue arrows).

     
    Area of Interest: Abdomen; Imaging Technique: CT;

    There are some fluid-filled small bowel loops with thickened wall (green arrows). There is also fat stranding.

     
    Area of Interest: Abdomen; Imaging Technique: CT;

    The thick-walled small bowel loops are more conspicuous in this image (green arrows).

     
    Area of Interest: Abdomen; Imaging Technique: CT;

    There is an elongated hyperdense structure within one of the small bowel loops (yellow arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
  • Figure 2
    MDCT reformatted images
     

    Axial thick slab reformation in the mid-abdomen. The hyperdense foreign body is better seen here (yellow arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT;

    Sagittal thick slab reformation. The hyperdense foreign body is also better appreciated in this image (yellow arrow).

     
    Area of Interest: Abdomen; Imaging Technique: CT;
     
     
There is a free intraperitoneal air bubble (red arrow), in the left lateral mid-abdominal region. Note the presence of a small nearby fluid collection (blue arrow).
 
Free intraperitoneal air is more evident in this image (red arrow), along with the adjacent fluid collections (blue arrows).
 
There are some fluid-filled small bowel loops with thickened wall (green arrows). There is also fat stranding.
 
The thick-walled small bowel loops are more conspicuous in this image (green arrows).
 
There is an elongated hyperdense structure within one of the small bowel loops (yellow arrow).
 
Axial thick slab reformation in the mid-abdomen. The hyperdense foreign body is better seen here (yellow arrow).
 
Sagittal thick slab reformation. The hyperdense foreign body is also better appreciated in this image (yellow arrow).
 
 
 
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