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Tuyển tập các báo cáo nghiên cứu khoa học ngành toán học được đăng trên tạp chí toán học quốc tế đề tài: Visual diagnosis: Rectal foreign body: A primer for emergency physicians | Desai International Journal of Emergency Medicine 2011 4 73 http www.intjem.eom content 4 1 73 o International Journal of Emergency Medicine a SpringerOpen Journal CASE REPORT Open Access Visual diagnosis Rectal foreign body A primer for emergency physicians Bobby Desai Abstract We present a case that is occasionally seen within emergency departments namely a rectal foreign body. After presentation of the case a discussion concerning this entity is given with practical information on necessity of an accurate and thorough history and removal of the object for clinicians. Case A 39-year-old male presented to the Emergency Department with vague complaints of abdominal pain and constipation. He stated that the abdominal pain was dull and crampy in nature and generalized in distribution. Furthermore he stated that he had not had a bowel movement in 2 days though he felt as if he had to have one. He denied constitutional complaints of fevers chills nausea and vomiting and denied urinary complaints as well. The patient s vital signs were temperature 37.2 C pulse 87 beats per minute respiratory rate of 20 per minute and blood pressure 130 84 mmHg. The patient was awake alert and oriented to time person and place. His head neck cardiovascular respiratory and neurologic exams were all documented as within normal limits. His abdominal exam revealed a flat abdomen diffusely tender with bowel sounds in all four quadrants. The physician noted a palpable mass in the left lower quadrant. Upon further examination the mass felt very hard and had an oblong shape according to the physician notes. The patient was subsequently re-questioned about a family history of cancer which the patient denied. The physician subsequently ordered basic laboratory tests and an abdominal X-ray. The AP and lateral X-rays are shown in Figures 1 and 2. After obtaining the X-rays the physician presented the X-rays to the patient and asked him what the object was. According to documentation the patient .
