RECTAL FOREIGN BODY - A diagnostic surprise for the surgeon : A CASE REPORT

Dr. Maharani Adhikari; Dr. Gautam Kumar Mukhopadhyay

Volume : IX, Issue : V, May - 2020

RECTAL FOREIGN BODY - A diagnostic surprise for the surgeon : A CASE REPORT

Dr. Maharani Adhikari, Dr. Gautam Kumar Mukhopadhyay

Abstract :

Cases of Rectal foreign body (RFB) may be challenging in day to day surgical practice both in terms of diagnosis and management. RFB can be classified based on the mode of insertion– voluntary/involuntary or sexual/asexual. The clinical presentation may vary from vague symptoms like constipation to complications like perforation, peritonitis etc. Many present with storied history and thus a detailed clinical examination especially a Digital rectal examination(DRE) and abdominal radiograph help in diagnosis. Management is crucial and retrieval of RFB may be done transanally,endoscopically or through laparotomy depending upon size, nature or location of RFB or associated injuries. This is a case of a gentleman with a large self inserted RFB which was retrieved transanally.