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	<title>John Schrom &#187; Colon</title>
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		<title>Grand Rounds</title>
		<link>http://john.mn/2010/01/grand-rounds/</link>
		<comments>http://john.mn/2010/01/grand-rounds/#comments</comments>
		<pubDate>Sat, 16 Jan 2010 06:06:22 +0000</pubDate>
		<dc:creator>john</dc:creator>
				<category><![CDATA[Health]]></category>
		<category><![CDATA[Case Study]]></category>
		<category><![CDATA[Colon]]></category>

		<guid isPermaLink="false">http://blog.johnschrom.com/?p=12</guid>
		<description><![CDATA[You&#8217;re looking at an x-ray of the abdominal area, and there&#8217;s something in there that shouldn&#8217;t be&#8230;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 [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://www.hcplive.com/issues/images/2007-12/2007-12_06-01.jpg" alt="Abdominal x-ray" /></p>
<p>You&#8217;re looking at an x-ray of the abdominal area, and there&#8217;s something in there that shouldn&#8217;t be&#8230;can you guess what it is?</p>
<p>I found this in a journal (<a onclick="javascript:pageTracker._trackPageview('/outgoing/www.surgicalroundsonline.com');"  href="http://www.surgicalroundsonline.com">Surgical Rounds</a>) 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 <a onclick="javascript:pageTracker._trackPageview('/outgoing/en.wikipedia.org/wiki/Perforated_colon');"  href="http://en.wikipedia.org/wiki/Perforated_colon">perforated colon</a>.  No explanation.  They stitch him up, and he shows up again about 2 years later.  This time, there&#8217;s a &#8220;bar of soap&#8221; 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&#8217;t a bar of soap.</p>
<p>I don&#8217;t want to ruin the surprise.  Feel free to guess, or if that&#8217;s too much work, you can <a onclick="javascript:pageTracker._trackPageview('/outgoing/www.surgicalroundsonline.com/issues/articles/2007-12_06.asp');"  href="http://www.surgicalroundsonline.com/issues/articles/2007-12_06.asp">read</a> the case report (and other information about perforated colons and sexual activity).</p>
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