case_images: PMC10755397_01
case_images: Imaging before the insertion of an ileus tube (A) CT showed that the pelvic lesions (white arrow) had progressed significantly. (B) CT showed that multiple metastatic nodules (white arrow) were located in both lungs. (C) CT showed that the obstruction was located in the terminal ileum that had been invaded by the large pelvic tumor (white arrow). (D) The small bowel became significantly dilated due to the obstruction (white asterisk).
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case_images: f1
case_images: CT showed that the lung and pelvic lesions had progressed significantly ( Figures 1A, B ). The site of obstruction was located in the terminal ileum invaded by the large pelvic tumor ( Figures 1C, D ).
case_images: Imaging after the insertion of an ileus tube (A) CT showed that the intestinal obstruction was improved, and the head of the tube was now in the left lower abdomen. (B) CT showed no metallic shadow, and the rest of the CT findings were normal. (C) CT did not show intestinal obstruction or intestinal leakage but showed separation between the metal beads at the head of the ileus tube. (D, E) Follow-up CT showed that six scattered metal beads had moved toward the distal small intestine with no signs of intestinal obstruction or perforation.
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case_images: f2
case_images: On March 31, 2022, CT showed that the intestinal obstruction had improved, and the head of the tube was now in the left lower abdomen ( Figure 2A ). On April 9, 2022, CT did not show intestinal obstruction or intestinal leakage but showed separation between the metal beads at the head of the ileus tube ( Figure 2C ). Follow-up CT showed that six scattered metal balls had moved toward the distal small intestine, with no signs of intestinal obstruction or perforation ( Figures 2D, E ). On April 19, 2022, the metal beads and spring were eliminated through the colostomy ( Figure 3B ), CT showed no metallic shadow, and the other organs were not abnormal ( Figure 2B ).
case_images: (A) Intraoperative exploration showed that an 18*15 cm cystic mass(black asterisk) was seen in the right ovary. (B) The metal beads(black arrow) and spring(white arrow) were eliminated through the colostomy. (C) The wall of the weighted tip(white arrow) was damaged caused by the biopsy forceps. (D) A knot was tied at the tip of the ileus tube before insertion ("thread-knotting" method). (E) The ileus tube could be inserted easily by grasping the thread (black arrow) with biopsy forceps (white arrow).
case_images: fonc-13-1270728-g003.jpg
case_images: PMC10755397_01_fonc-13-1270728-g003.jpg
case_images: f3
case_images: According to the intraoperative exploration, an 18*15 cm cystic mass was seen in the right ovary ( Figure 3A ), and a 5*3 cm cystic mass was seen in the left ovary. On April 19, 2022, the metal beads and spring were eliminated through the colostomy ( Figure 3B ), CT showed no metallic shadow, and the other organs were not abnormal ( Figure 2B ).