case_images: PMC8827570_01
case_images: X-ray abdomen: the radiopaque shadow in the pelvic cavity and centrally multiple dilated bowel loops were noted, suggesting foreign body and likely bowel obstruction.
case_images: JNMA-57-215-56-g1.jpg
case_images: PMC8827570_01_JNMA-57-215-56-g1.jpg
case_images: f1
case_images: X-ray abdomen: the radiopaque shadow in the pelvic cavity and centrally multiple dilated bowel loops were noted, suggesting foreign body and likely bowel obstruction (Figure 1).
case_images: PMC8827570_02
case_images: A. Ileum perforation with bell clappers. B. Two bell clappers removed during surgery. C. Foreign bodies measuring 15 cm and 10 cm long each two (four Bell clappers) and appendix.
case_images: JNMA-57-215-56-g2.jpg
case_images: PMC8827570_02_JNMA-57-215-56-g2.jpg
case_images: f2
case_images: FB. FB measuring 15 cm and 10 cm long each two (four Bell clappers) were removed (Figure 2), bowl perforation site was closed in two layers and appendectomy was done followed by a normal saline wash.
case_images: The patient on the 10th postoperative day after suture removal.
case_images: JNMA-57-215-56-g3.jpg
case_images: PMC8827570_02_JNMA-57-215-56-g3.jpg
case_images: f3
case_images: The patient was discharged followed by suture removal on the 10th postoperative day (Figure 3).