The patient experienced abdominal pain, nausea, and bloating. Initially, they received treatment at a medical facility and were diagnosed with partial bowel obstruction. After discharge, the patient's pain and bloating persisted. On 14/7, they sought care at Hospital 22-12, where an ultrasound and abdominal X-ray confirmed signs of partial bowel obstruction.

A subsequent colonoscopy revealed a nylon bag, approximately 20 cm long, lodged in the patient's terminal ileum, along with several smaller nylon fragments trapped within the small intestine. This foreign object obstructed passage and caused ulcerative lesions at the site of impaction.

Endoscopy specialists successfully removed all foreign bodies, clearing the obstruction without the need for surgery. The medical team also thoroughly examined the damaged mucosal area and performed a biopsy of the ulcerated site to evaluate the cause.

Following the removal of the foreign objects, the patient's abdominal pain and bloating subsided, and their health stabilized.

The reason for the nylon bag becoming lodged in the patient's intestine remains unknown. According to doctors at Hospital 22-12, a nylon bag causing partial bowel obstruction in the terminal ileum is an uncommon situation, often difficult to detect using standard imaging diagnostics. Such foreign objects can lead to serious complications, including ulcers, bleeding, complete bowel obstruction, intestinal perforation, and peritonitis.

Bui Toan