Saudi Journal of Gastroenterology

QUIZ
Year
: 2008  |  Volume : 14  |  Issue : 1  |  Page : 46--47

Unusual cause of abdominal pain


S Khanna, D Chaudhary 
 Pushpawati Singhania Research Institute for Liver, Renal and Digestive Diseases, New Delhi, India

Correspondence Address:
S Khanna
Pushpawati Singhania Research Institute for Liver, Renal diseases, Shiekh Sarai-II, New Delhi - 110 017
India




How to cite this article:
Khanna S, Chaudhary D. Unusual cause of abdominal pain.Saudi J Gastroenterol 2008;14:46-47


How to cite this URL:
Khanna S, Chaudhary D. Unusual cause of abdominal pain. Saudi J Gastroenterol [serial online] 2008 [cited 2020 Aug 5 ];14:46-47
Available from: http://www.saudijgastro.com/text.asp?2008/14/1/46/37810


Full Text

A 20-year-old male patient presented to the emergency department with severe, constant abdominal pain of 5-day duration without any radiation, vomiting or obstipation. There was no history of alcohol or drug intake, trauma, fever or diarrhea. The patient was non-diabetic and non-hypertensive with no history of sexual contact. On examination, he had tachycardia. There was no tenderness, guarding or rigidity over the abdomen. His blood chemistry was normal.

A plain X-ray of the abdomen was taken [Figure 1]. The patient had not undergone any contrast studies. Subsequently, a colonoscopy was performed [Figure 2]. He was continued on laxatives; 2 days after the colonoscopy, the patient was pain-free.

 What is the Diagnosis ?



 View Answer

 Answer



Colon impaction with pebbles - geophagia.

Multiple small stones are seen in the colon. On further history-taking, the patient admitted that he had a habit of ingesting pebbles.