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Journal of Indian Academy of Forensic Medicine
Year : 2023, Volume : 45, Issue : 3
First page : ( 285) Last page : ( 287)
Print ISSN : 0971-0973. Online ISSN : 0974-0848.
Article DOI : 10.48165/jiafm.2023.45.3.18

Bottoms up in pelvis. How can it really happen? - A case report of foreign body in rectum

Saiyed MZG1,*, Sharma V2, Jani CB3

1Professor & Head, Deptt. of Forensic Medicine, GMERS Medical College, Hospital, Kharvad Medan, Sipor Road, Vadnagar

2Professor & Head, Professor, Deptt. of Surgery, GCS Medical College, Hospital & Research Centre, Opp. DRM Office, Naroda Road, Ahmedabad

3Professor, Professor & Head, Deptt. of Forensic Medicine, SAL Institute of Medical Sciences, Science City Road, Sola, Ahmedabad

*Corresponding Author Dr. Mohammed Ziyauddin G. Saiyed, Email : dr.ziya.saiyed@gmail.com, Mobile No. +91-9662737129

Online published on 16 November, 2023.

Abstract

A 50 years old, male patient was admitted with complaints of pain in abdomen & anal region with bleeding per rectum. Alleged history revealed that he was intoxicated by some substance mixed in tea, offered by a rickshaw driver while he was travelling alone at midnight. After regaining consciousness, he found himself lying under a bridge with dust & blood stains on clothes & at anal region, respectively. He bathed at his home & came to the hospital as outdoor patient. He was found to have a metallic foreign body in pelvis on per rectal examination. On X-ray examination of abdomen & pelvis, a radio-opacity in shape of an inverted glass was visualized simulating the phrase “Bottoms up”, used when the bottom of one's glass is tilted upwards until it is empty. Various interesting medical and medico legal events followed during the course of the treatment which are discussed in this case report.

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Keywords

Bottoms up, Foreign body, Pelvis.

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