A 22-year-old woman presented to our emergency department with a clinical picture
of right upper quadrant abdominal pain. She had been involved in a fight with gunshots
4 years earlier (in another country), with an injury in the abdominal region. Urgent
laparotomy was performed, and the bullet could not be located. At that time, no other
examinations were carried out. In our hospital, laboratory tests showed no relevant
findings. An abdominal radiograph showed a metal object in the right upper quadrant
(A). Abdominal US showed mild dilatation of the common bile duct (CBD) with a foreign
body, probably the bullet, inside it.
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Publication history
Published online: February 09, 2021
Mohamed O. Othman, MD, Associate Editor for Focal PointsIdentification
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© 2021 by the American Society for Gastrointestinal Endoscopy
