n South African Journal of Surgery - MDCT in the diagnosis of small-bowel obstruction by a retained surgical swab : case report




A middle-aged man presented to the outpatient clinic, complaining of a 2-year history of abdominal pain. His attempts to seek assistance at the local clinic as well as 2 previous visits to our hospital had yielded no relief from the symptoms. He had undergone an exploratory laparotomy after a motor vehicle accident 3 years previously. Further questioning also revealed altered bowel habit.

For unknown reasons, the recommended imaging guidelines, which include plain radiographs and ultrasound as first-line investigations, were not requested, and the patient was referred for an abdomino-pelvic CT scan.


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