Intraperitoneal zucchini

Case contributed by A.Prof Frank Gaillard

Presentation

Generalized abdominal pain in a hobby farmer.

Patient Data

Age: 50 years
Gender: Male

Abdominal x-ray

Modality: 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 abdomen

Modality: CT

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. 

PlayAdd to Share

Case Information

rID: 14996
Case created: 12th Sep 2011
Last edited: 7th Nov 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.