This X-ray belongs to a 35-year-old man who presented to the emergency department with profuse rectal bleeding, abdominal pain, and an altered mental status. He was found intoxicated with a low blood pressure of 70/40 mm Hg and a foreign body was found on rectal examination but was not visible and no evidence of trauma was detected. Once the patient was hemodynamically stable, he was sent to be X-rayed and what was found was shocking as far as it can get to. An intact bottle was seen in the rectosigmoid colon. Laparotomy revealed a glass bottle of beer lodged in the sigmoid colon, with multiple associated lacerations in the rectosigmoid colon. The bottle was removed in surgery, and the man was treated with antibiotics and pain relievers after which he recovered uneventfully.
