Presentation
Presented with acute onset of vomiting and anorexia for 12 hours.
Patient Data
There is a large, oval, mineral opacity structure in the gastrointestinal tract. The stone is positioned medial to the cecum on the ventrodorsal projection. The cecum and descending colon are gas filled. There are several mildly distended, gas filled small intestinal loops in the left cranial abdomen. Mildly distended fluid filled loops are present on the lateral projections. The remainder of the abdominal organs are normal.
Impression:
Intestinal foreign body causing mechanical obstruction. The position of the stone may be in the distal jejunum or ileum.
Case Discussion
The stone was obstructive on the initial set of radiographs. With time and medical management, it is possible for foreign bodies to pass into the colon and resolve the mechanical obstruction. While this was a remarkably short time interval for that to occur, it is worth considering additional radiographs prior to surgery to ensure the obstruction is still present with longer time intervals.
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