S31.644 - Puncture wound with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity S31.6 - Open wound of abdominal wall with penetration into peritoneal cavity S31.64 - Puncture wound with foreign body of abdominal wall with penetration into peritoneal cavity S31.644 - Puncture wound with foreign body of abdominal wall, left lower quadrant with penetration into peritoneal cavity