Large bowel obstruction and multiple small and large bowel micro perforation caused by the ingestion of foreign body (Case report)

50 years old Schizophrenic male referred with abdominal pain, nausea and vomiting.patient reported abdominal pain since one year prior to admission. Previous studies, including ultrasound and lab tests did not show anything.plain abdominal radiography showed multiple metallic bars in abdominal cavity. Abdominal laparotomy was done and nine metallic bars removed from stomach and small and large bowel and patient discharged with good condition. Report of this patient emphasizes on importance of simple abdominal radiography in the differential diagnosis of abdominal pain.