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December 1964

Importance of Preoperative Scout FilmsAssociated With Foreign Bodies

Arch Surg. 1964;89(6):933-935. doi:10.1001/archsurg.1964.01320060001001

Urologists long ago learned the importance of a scout film of the abdomen immediately prior to surgery for ureteral calculi to confirm the presence and location of a stone.1 We recently have seen the following interesting case which emphasizes the importance of a scout film prior to surgery for an opaque foreign body in the gastrointestinal tract.

A 47-year-old white female was admitted to Saint Joseph's Hospital with the chief complaint of vomiting and pain radiating to the back, of four days duration. Four years prior to present admission, she had been hospitalized for cholecystitis followed by cholecystectomy. In 1959, she was found to have a chronic duodenal ulcer with scarring of the duodenal cap and pylorus. In October 1962, a lumbar spine examination was essentially negative, but a foreign body which had the appearance of a coin was seen in the region of the antrum of the stomach