Ultrasound Diagnosis of Crystal Jelly Ball Ingestion Causing Intestinal Obstruction

Ingestion of Foreign Bodies (FB) by young children is a common presentation in the emergency department. We present two cases which were diagnosed with intestinal obstruction. Abdominal ultrasound revealed an intraluminal anechoic cystic lesion causing intestinal obstruction in both cases. We discuss the ultrasound findings of an intraluminal crystal jelly ball FB highlighting the technical consideration on ultrasound probe selection. In both cases, Intraoperative findings confirmed that the small bowel obstruction was due to a crystal jelly ball bezoar.