Case number 26
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Abdominal radiographs:
The stomach is moderately distended with gas and fluid . The small intestines are fluid and gas-filled but are not overly distended. There is a mild to moderate loss of serosal details. This can indicate peritoneal effusion.
Abdominal ultrasound:
The images presented are of the small intestines which are mildly fluid filled with thickened walls and contain a very hyperechoic structure with strong distal acoustic shadowing consistent with a foreign body.
Another finding (images not presented) was mild peritoneal effusion.
Diagnosis:
Small intestinal foreign body (sharp bone), perforation, peritonitis.