DIAGNOSTIC IMAGE

Pushkala Mittur Sundararajan*

Department of Paediatrics, Kauvery Hospital, Chennai, Tamilnadu, India

*Correspondence: lakshmisundararajan@gmail.com

Baby S, a 7-year-old came with complaints of abdominal pain, sudden in onset, not associated with vomiting, fever or diarrhea, since the last three days. There was no history of travel, diet change or outside food intake. She complained of a diffuse pain all over the abdomen. She had not passed stools since the last 2 days (she passes stools daily, otherwise).

Diagnostic-Image-1

On examination, she was alert and active. Her vitals were stable. There was no specific tenderness or guarding. Bowel sounds were normal. Her abdomen was mildly distended. A plain x ray of abdomen erect was done.

It showed the presence of a foreign body near the rectum in both the anteroposterior and lateral views. On retrospective questioning, the father said she was playing with her cousin a few days ago with ‘new toys’ (unsupervised play). She was observed for 24 hours. On the next day, a GLASS MARBLE ball was passed per rectum with minimal rectal bleed.

Diagnosis: Foreign body (marble ball) in rectum

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