Genitourinary Foreign Bodies – Clinical Case 3

A 20-year-old man presents to the ED with abdominal pain and nausea. He has not opened his bowels for 18 hours and feels nauseous but has not vomited.

On examination he has normal observations other than a HR of 110, but his abdomen is mildly distended, feels full and is mildly tender. He is not peritonitic. On rectal examination, with a chaperone present, you feel something unusual and firm in the rectum.

He is normally fit and well.