Grand Rounds

Abdominal x-ray

You’re looking at an x-ray of the abdominal area, and there’s something in there that shouldn’t be…can you guess what it is?

I found this in a journal (Surgical Rounds) that we get at work. It details a case of an 85 year old man who showed up in the ER complaining of acute abdominal pain. They ended up taking a look, and finding a perforated colon. No explanation. They stitch him up, and he shows up again about 2 years later. This time, there’s a “bar of soap” stuck up there (the patient says it helps with his impacted stools). They could feel it when they push around on his tummy, and so they took that x-ray. Turns out, it wasn’t a bar of soap.

I don’t want to ruin the surprise. Feel free to guess, or if that’s too much work, you can read the case report (and other information about perforated colons and sexual activity).

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