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Gut 2004;53:1122; doi:10.1136/gut.2003.024638
Copyright © 2004 BMJ Publishing Group Ltd & British Society of Gastroenterology.
Gut 2004;53:1122
© 2004 by BMJ Publishing Group Ltd & British Society of Gastroenterology

EDITOR'S QUIZ: GI SNAPSHOT

A male with a pelvic mass

K T Kjossev1, N N Vladov1, J E Losanoff2

1 Department of Surgery, Military Medical Academy, Sofia, Bulgaria
2 University of Missouri, Columbia, Missouri, USA

Correspondence to:
Correspondence to:
Dr Kirien Kjossev
PO Box 159, Department of Surgery, Military Medical Academy, 1606 Sofia, Bulgaria; kirien@omega.bg

Keywords: rectosigmoid; bezoar; obstruction; colon

The first 100% of the full text of this article appears below.

Clinical presentation

A 40 year old man presented to the emergency department with a six day history of intermittent abdominal left lower quadrant pain, nausea, vomiting, and constipation. The patient admitted excessive fruit and vegetable consumption for the past six months. His past medical history was not revealing.

On physical examination the abdomen was moderately distended, soft, and with normal bowel sounds. A tender 8x6 cm mass was palpable in the left lower quadrant. Digital rectal examination, laboratory tests, and chest x ray (fig 1Go) were unremarkable.


 

Question

What does this plain abdominal x ray show?

See page 1144 for answer

This case is submitted by:


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EDITOR’S QUIZ: GI SNAPSHOT
Gut 2004 53: 1144. [Extract] [Full Text] [PDF]

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