Jejunal foreign matter obstruction with primary dysfunctional bowel. Transmural bowel necrosis with potential for underlying focal lymphoma or carcinoma is less likely. It appears resectable. The hope is that only an inflammatory bowel type event is present in this patient without evident neoplasia. However, with loss of mural detail associated with the foreign matter I am concerned for primary disease as well as secondary degenerative disease from embedded material. Corn cob or similar consistency would fit with the sonographic properties of the luminal material. Given the periserosal inflammatory pattern, this indicates transmural inflammation. Resection and anastamosis ideally guided by intraoperative ultrasound would be the best approach in this case to fully resect the affected bowel.