Rectal foreign body - aerosol can

Case contributed by Assoc Prof Frank Gaillard

Presentation

"I'm sorry sir but I don't care where it is, you can't take it with you onto the aircraft."

Patient Data

Age: Adult
Gender: Male
X-ray

Pelvic x-rays

Images obtained on the emergency department trolley. 

Supine AP and lateral view of the lower abdomen demonstrates an aerosol can located presumably within the rectosigmoid. A loop of large bowel is also seen in the left inguinal region, consistent with an inguinal hernia. Given the lateral location of the presumed neck and extension of the bowel into the scrotum, this most likely represents an indirect hernia. 

Case Discussion

Aerosol cans are a relatively common improvised rectal foreign body. Why this is the case, is a very good question. 

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