Intrarectal Foreign Body: Case Report

Anorectal foreign bodies are usually objects that have been inserted into the rectum through the anus, but they can also be swallowed objects. Sudden, transfixing pain during defecation should raise suspicion of the presence of a foreign body, usually blocked at or just above the anorectal junction. The presence of red blood indicates that a tear or perforation may have occurred. Other manifestations depend on the size and shape of the foreign body, its age in situ and the presence of infection or perforation. Diagnosis is usually based on digital examination, and sometimes an unprepared abdominal X-ray. Treatment is often manual extraction under local anaesthetic or sedation, or by sigmoidoscope. Surgery is reserved for cases where manual or endoscopic extraction of the foreign body has failed. We report a case of a patient who had an incarceration of a huge object voluntarily introduced anally for therapeutic purposes.