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Medical Mystery: Why did her stomach hurt so bad?

Doctors were amazed to discover what had caused a healthy young woman's bowel to twist.

A thin metallic wire is lodged in a woman's intestines.
A thin metallic wire is lodged in a woman's intestines.Read moreBMJ Case Reports

Doctors at a hospital in Australia were bewildered when a 30-year-old woman showed up with intense stomach pains.

Her heart rate was faster than normal, and the membrane lining her abdominal wall was inflamed, one of her doctors wrote in a medical article published this month by BMJ Case Reports. But her vital signs, laboratory tests, ultrasound, and a scan of her liver, gallbladder, and bile ducts were all normal.

The woman also had not had surgery recently, which eliminated the possibility that a surgeon accidentally left a foreign object inside her, according to Popular Science. But a CT scan revealed that her intestine had twisted "around on itself — a condition known as volvulus," according to BMJ Case Reports.

The scan also revealed a surprising culprit behind the painful condition, one that had been there for at least a decade with the patient not even realizing it.

"We were all a bit dumbfounded," said Talia Shepherd, one of the physicians who treated the woman at Sir Charles Gairdner Hospital in Nedlands, Western Australia. "It wasn't what I was expecting to find at all."

Solution

The CT scan revealed a dental brace wire, a little more than 2½ inches long, doctors said.

The woman told doctors that she wore braces 10 years ago and had since had them removed. She also said she did not remember ingesting the wire or losing part of her braces, wrote Talia Shepherd, one of the physicians who treated the woman.

"The case is so unique because, normally, if you swallow something like that, it presents earlier," Shepherd told Popular Science.

But accidentally ingesting foreign objects is not unheard of.

Last May, Live Science published a list of "11 Weird Things People Have Swallowed." It included small and pointed objects such as a bobby pin and a dental instrument, as well as larger ones such as a cellphone, a pen, a lighter, and a toothbrush.

In a 2015 medical case from Saudi Arabia, doctors examining an X-ray of a 16-month-old boy's esophagus came face-to-face with an image of a smiling SpongeBob SquarePants. Ghofran Ageely, a radiology resident at King Abdulaziz University Hospital in Jiddah, Saudi Arabia, told Live Science that the toddler had swallowed his older sister's SpongeBob pendant.

Ageely said she initially thought it was a pin or a hair accessory because an X-ray of the child's body from the side showed a thin object in his esophagus. She was shocked after looking at the frontal view.

" 'SpongeBob,' I screamed!!!" Ageely told Live Science in an email. "I was amazed by the visible details. You can see the freckles, shoes and fingers . . . AMAZING."

Last May, a Texas mother warned other parents after her daughter accidentally swallowed a fidget spinner. They were in a car when she noticed her daughter choking, Kelly Rose Joniec wrote on her Facebook page, according to USA Today.

A recent report by a consumer watchdog group warned parents of the dangers of the popular toy, which it said has "the potential to lead to tragic or deadly consequences."

As for the woman from Australia, Shepherd said she recovered well.