What is the most likely diagnosis?
- 81 year-old male with colicky RLQ pain
Axial CT scan of the lower abdomen
- Diverticulitis
- Osteoblastic Prostate Metastases
- Meckel's Diverticulum
- Aortic Aneurysm
- Foreign Body Perforation
Additional Images - 3D Color Reconstruction
Additional Images
3D CT Reconstruction of Lower Abdomen
Answer:
.
5. Foreign Body Perforation of Cecum
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Foreign Body Perforation of Cecum
General Considerations
- Overall, most ingested foreign bodies occur in children
- Perforation occurs in less than 1% of ingested foreign bodies
- Known agents include chicken and fish bones, toothpicks, dentures and cocktail sticks
- Blunt foreign bodies may also perforate through a slower process of pressure necrosis of the bowel wall
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