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Duodenal Bobby Pin Perforation and Liver Abscess

Imaging findings

Abdominal radiographs and CT in a 30-month-old show a 6 cm metallic foreign body (half of a bobby pin) perforating the duodenum near the porta hepatis and extending into the liver, with a surrounding small liver abscess.

Key takeaways

Ingested sharp foreign bodies can perforate the duodenum and track into the peritoneal cavity, retroperitoneum, or solid organs like the liver, presenting with non-specific systemic symptoms like fever and malaise.

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