Accidental ingestion of large foreign body retained at recto sigmoid junction: A rare case report

Abstract

: Large Foreign Bodies in recto-sigmoid are very rare. Foreign bodies found in rectum are usually are inserted as a part of erotic activities . Very rarely foreign bodies reach upto rectum due to oral ingestion; e.g. of the latter include toothpicks, bones. These patients commonly present with pain, discomfort or foreign body sensation. After failure to remove by local methods they present to doctor. Patient fail to present early due to social embarrassment and stigmas. Patient might not present with original mode of insertion due to stigma and present with unusual stories. A 52 year male presented with a complaint of abdominal pain colicky in nature since 12 hours and abdominal mass of following an episode of accidental ingestion of pestle while he was scratching his posterior pharyngeal wall.. At laparotomy, pestle was found at rectosigmoid junction, The pestle in rectosigmoid colon was removed by bimanual technique, i.e foreign body was pulled through anus and pushed through abdomen.This was a rare case of such a large foreign body ingestion and retained in rectosigmoid colon.