Medical Oddities: Not a feces sign, a wine cork - Takeaways - MDSpire
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Medical Oddities: Not a feces sign, a wine cork

  • By

  • Teraya Smith

  • August 13, 2026

  • 4 min

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  • 1

    A 25-year-old man with chronic psychosis presented with acute small bowel obstruction and was found to have wine cork fragments in his ileum and stomach.

  • 2

    Initial CT imaging misidentified the intraluminal mass as a classic 'small bowel feces sign' due to its gas-mottled appearance.

  • 3

    Differentiating between a feces sign and a discrete mass is crucial for diagnosis and treatment in cases of bowel obstruction.

  • 4

    Surgical exploration confirmed the presence of wine-bottle cork fragments without underlying strictures or bowel ischemia.

  • 5

    This case highlights the unexpected nature of surgical findings and the importance of accurate imaging interpretation.

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