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  • Acute onset of vomiting, anorexia and abdominal pain.
  • On presentation, mucous membranes were pale with an increased CRT, >10% dehydrated and tachycardic.
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  • Loss of serosal detail (peritoneal effusion/peritonitis).
  • Abnormal gas pattern in one small intestinal loop which remains the same on all views.
  • Multiple mineral opaque foreign bodies which do not appear obstructive.
  • A horizontal beam radiograph was made to determine that there was no evidence of peritoneal gas.
  • The patient had an exploratory laparotomy which revealed an ischemic bowel. The distal third of the ileum was entrapped in a tear in the omentum and was found to be necrotic. Resection and anastomosis was performed.
  • Histopathology revealed no evidence of neoplasia.
  • The patient developed dehiscence at the anastomosis site and required secondary surgery.
  • The patient survived but developed short bowel syndrome.
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