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Intraperitoneal zucchini

Case contributed by Assoc Prof Frank Gaillard

Presentation

Generalized abdominal pain in a hobby farmer.

Patient Data

Age: 50 years
Gender: Male
X-ray

Abdominal x-ray

Bowel gas pattern is non-specific with no convincing free intrabdominal gas. Apparent density overlying the expected location of the rectum is difficult to interpret. 

CT

CT abdomen

19cm long oblong mostly air density object is seen within the peritoneal cavity (right epigastrium / periumbilical). The tip of it lies adjacent to the gallbladder. A discontinuity in the mid rectum, 9cm from the anal verge is noted where there is a 4 cm fluid/gas collection. Multiple locules of intraperitoneal free gas is also detected.

Case Discussion

This case of an intraperitoneal zucchini is unusual, and does raise questions as to how hard one has to push a blunt vegetable to perforate the rectum. 

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Case information

rID: 14996
Published: 12th Sep 2011
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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