Mechanical bowel obstruction caused by a foreign body (clam shell)

Discussion:

Initial abdominal plain radiograph should be obtained when foreign body ingestion is suspected, which differentiates a radiopaque from radiolucent foreign bodies. Computed tomography with 3D reconstruction (3D-CT) is recommended with radiolucent foreign bodies. The presence of intestinal obstruction necessitates surgical intervention to extract the ingested foreign body.

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