The gastrointestinal tract revealed variable gastrointestinal wall thickening with foreign body shadowing in the mid small bowel with reactive surrounding fat attached to the omentum. Retained ingesta was also noted and created an obstructive pattern with dilated small intestine followed by empty small intestine. Reactive omentum was noted throughout this region. Some gas penetration was noted in the wall of the intestine, which suggest potential anaerobic component. The stomach appeared empty, yet hypertrophied. Underlying, chronic, mural gastrointestinal disease is likely present. Spontaneous necrosis or multi focal intestinal mural disease is present with secondary foreign body ingestion or possible chronic foreign body ingestion and secondary necrosis. Given the free fluid, reactive omentum, and partial obstructive pattern, immediate exploratory surgery would be recommended with intestinal resection and anastamosis preferably guided by intraoperative ultrasound. The surgeon should be prepared for abdominal lavage. The foreign structure appears to be approximately 1-1.5 inches in length.