Presentation
Generalised abdominal pain and foreign body in rectum.
Patient Data
A metallic spray can measuring 18 cm in length and approximately 7 cm in maximum thickness is seen projecting in the lower abdomen and pelvis in the region of the rectum and distal sigmoid colon.
No definite evidence of small bowel obstruction. Evaluation of free air is limited on this exam with a supine position.
Stool is seen scattered almost throughout the colonic segments.
Case Discussion
Foreign body rectal insertion is common among those with a history of self-harm, personality disorders, and other psychosomatic illnesses 1. While often not life-threatening, a rectal insertion risks consequences following migration or perforation of the large bowel 2. Most removals can occur trans-anally with anaesthesia.
This case was submitted with supervision and input from:
Soni C. Chawla, M.D.
Health Sciences Clinical Professor,
Department of Radiological Sciences,
David Geffen School of Medicine at UCLA.
Attending Paediatric Radiologist,
Olive View - UCLA Medical Centre.
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