Small bowel obstruction secondary to migration of a fragment of lithobezoar: a case report
Department of Surgery & Radiology, Mid-Western Regional Hospital, Limerick, Ireland
Cases Journal 2009, 2:9155 doi:10.1186/1757-1626-2-9155Published: 7 December 2009
Small bowel obstruction is a common world-wide condition that has a range of etiological factors. The management is largely dependent on the cause of the obstruction. Small bowel obstruction caused by foreign body ingestion is rare; many items have been reported as responsible, but there are no reports implicating polyurethane foam.
We report the case of a 44-year-old Irish male who presented following ingestion of polyurethane foam. He was asymptomatic on presentation but developed a small bowel obstruction shortly thereafter.
Patients presenting following ingestion of polyurethane foam should be scheduled for elective laparotomy, gastrotomy, and retrieval of the cast on the next available theatre list - given that they are suitable for surgery.