Migrated intestinal foreign body: A rare mode of entry.

Abstract

Foreign body (FB) in women in all age groups may be due to variety of cause. The act of deliberate insertion of foreign body to one’s own body cavity with the help of others is a well-known phenomenon in the start or at puberty in female patients but insertion into one of the body orifices and migration of the foreign body into the intestine is quite rare. This report presents a case of a lady who had foreign body migrated from a rare route into the lumen of the small bowel 25 years back. Recurrent right flank pain and mild urinary symptoms did not alert clinicians to the possibility of foreign body migration into the intestine. A 48-year-old post-menopausal woman presented with recurrent right flank pain and mild urinary symptoms of 2 months duration. She was repeatedly evaluated by clinicians for secondary infertility after she had illegal abortion for unwanted pregnancy 25 years back. Abdominal and pelvic ultrasound imaging showed moderate dilatation of the right kidney and the ureter, subsequently, contrast intravenous pyelography was done and it revealed moderate dilatation of the right kidney and the ureter up to the distal segment. Upon entering the abdomen, a coil of long segment foreign material lodged in the lumen of the small bowel which had compressed the right distal ureter externally with extensive adhesions was identified. During an attempt to release the adhesions of the bowel and the uterine wall, there were accidental bowel perforations through which the foreign material was extracted from the lumen of the intestine and its distal end from the wall of the uterus where it was embedded.