Rectal foreign body removal: Shot glass extracted with magill forceps

A 13-year-old previously healthy male presented to the emergency department with a retained rectal foreign body, a shot glass that was self-inserted. Other than abdominal discomfort, he denied any additional symptoms. Abdominal radiograph confirmed the presence of a glass object located in the rectum (Figure 1). Given the object's position and depth in the colon, a digital rectal exam and possible sigmoidoscopy were planned to extract the object. In the operating room, a pediatric vaginal speculum was used to attempt to visualize the object. The shot glass was identified within reachable distance. Given its accessibility, Magill forceps were chosen to allow controlled extraction while minimizing the risk of fragmentation. Pediatric surgery was present for backup in the event of fragmentation. By applying suprapubic abdominal pressure, the object was successfully secured and removed transanally. The glass (measuring 4 x 5 cm) was removed intact without fragmentation (Figure 2A,B). Following removal, flexible rectosigmoidoscopy demonstrated no evidence of mucosal injury. The patient was later discharged home. Rectal foreign body insertion, while relatively uncommon in pediatrics, does appear to be on the rise.1 It may be attributed in part to increased exposure to social media, leading to increased risk-taking behavior.2 Given this emerging trend, we report our successful approach after direct visualization, which included abdominal pressure and forceps as a minimally invasive technique for intact removal of a glass foreign body. The authors declare no conflicts of interest. Informed consent for publication, including the use of clinical details and images, was obtained from the patient's legal guardian in accordance with institutional policies.