Abdominal x rays made easy: iatrogenic, accidental, and incidental objects
In the final part of this series, Ian Bickle and Barry Kelly look at some of the more unusual findings on an abdominal x ray film
In the final part of our series we will focus on iatrogenic, accidental, and incidental objects seen on abdominal x ray films. These artefacts may be placed inside the body (internal) or be about the person (external). Internal objects may have been placed with intention by a health professional or temporarily by the individual concerned. Intentionally placed internal objects may have required surgery or been inserted through one of the body's natural orifices (mouth, vagina, anus). Incidental objects are those that become projected on to the radiograph.
These are placed intentionally by a health professional.
A wide range of medical devices appear on the abdominal x ray film, and many have been placed by radiologists themselves. On some occasions a radiograph's sole purpose is to confirm the position of an object, such as a tube device, most commonly the nasogastric tube (figure 1). These are the most commonly found iatrogenic