5 Key Takeaways

• 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.