73-year-old female patient:
* Abdominal pain
* Suspicion for ileus
Findings
Small bowel obstruction, with small bowel wall distension and transition point in the pelvis. At the point of transition there is a metal structure visible with the lumen of the bowel
No signs of bowel wall ischemia, no perforation
What is the most likely diagnosis?
What is the most likely diagnosis?
Acute small bowel obstruction due to migrated stomach tube plate
Requires surgery within 24 h
Possible complications: Perforation, abscess, ischemic changes
Treatment in this case: Laparotomy and surgical removal of the metal plate
…ingestione di protesi dentaria
gastrostomy component migration?