Early recognition of difficulties in transrectal extraction of foreign bodies is vital, and a low threshold for laparotomy should be maintained to prevent anal or rectal injuries.
Background: Foreign bodies in the rectum are a common occurrence encountered as a surgical emergency. Most cases can be managed by retrieval of object per rectum under anaesthesia using some ingenuity. However a few can be more difficult and require a laparotomy. Aim: To report a complicated case of rectal foreign body treated at our institution. Method: We reviewed our case and also extensive literature on this subject. Case: A 29 year old woman presented with a vibrator in the rectum whilst being used for anal eroticism. She had lower abdominal discomfort but no signs of peritonitis. Attempt to remove it per rectum under anaesthesia failed and a laparotomy was performed to retrieve the object. Conclusion: Early recognition of problems in extraction per rectum is vital. Practice low threshold in proceeding to laparotomy to prevent anal or rectal injuries.
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