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Case of the Week 408

What is the most likely diagnosis?

  • 28 year-old with incidental finding on CT

Axial CT scan of abdomen with close-up of stomach

  1. Teratoma
  2. Sickle cell disease
  3. Ingested foreign bodies
  4. Cirrhosis
  5. Splenic rupture

Additional Image - Axial CT scans of another patient-same finding



Additional Images


Axial CT scans of abdomen in another patient-same finding



3. Ingested foreign bodies ("neck bones")



More (Click Discussion Tab)

Ingested Neck Bones

General Considerations

  • Neck bones provide an inexpensive seasoning to stocks, soups, beans and boiled greens
  • Usually found in African-American, Italian, Asian or Caribbean dishes
  • May be turkey, pork or beef neck bones
  • Some use the bones for flavor, others eat the meat just as "ribs" are eaten and others chew and ingest the bones themselves, which are small and become soft in cooking
    • Ingestion can either be accidental or intentional



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