Unusual presentation of ingested wire bristle extruded through abdominal wall

Abstract

A 40-year-old man presented to our emergency department with a 2-month history of progressively worsening right-sided abdominal pain. The pain increases in severity in the 7 days preceding his presentation. It was constant in nature and not associated with any other gastrointestinal or systemic symptoms. He had no other medical co-morbidities and blood tests performed on presentation were unremarkable (white cell count 6.0 × 109/L and C-reactive protein 1.4 mg/L). On examination, he had a soft abdomen with an isolated focal point of tenderness in his right abdomen. There was no evidence of skin changes, puncture marks or overlying erythema at the tender area.A plain abdominal X-ray (AXR) was arranged by the emergency physicians and revealed an unexpected radio-opaque foreign body