Abstract
Foreign body rectum may cause serious consequences, especially in psychologically vulnerable patients, In critical conditions like pandemic COPVID-19, when depression, fear boredom, loneliness such incidence may occur. An 18 years old young male presented in emergency with a foreign body rectum. He was a laborer on daily wages. During the COVID-19 pandemic, loneliness, anxiety, and unemployment have exposed him to bizarre behavior, resulting in inserting potato into his rectum. He denied any history of homosexuality. The diagnosis was made by examination. Per rectal examination found FB just above the anal verge. The foreign body was removed rectally under G/A. He was then referred to a psychiatrist for evaluation.
Highlights
The hospital presentation of retained foreign body rectum is not rare. data are still deficient (“ayantunde AA. approach to the diagnosis and management... - Google Scholar,”) about the actual incidence (Goldberg and Steele, 2010)
Screening test for hepatitis B, hepatitis C, HIV, were non-reactive, blood sugar was 90 mg/dl and urea creatinine were in normal range Abdominal x-ray was unremarkable. He was shifted to operation theatre after anesthesia induction lithotomy position was made, examination was done in general anesthesia, and a huge foreign body was felt by a digital rectal examination
In adults insertion and retention of objects in rectum are common, such objects are in majority for sexual perversion or criminal intent (Child, 2020), Occasionally may be due to self-treatment of anorectal diseases
Summary
The hospital presentation of retained foreign body rectum is not rare. data are still deficient (“ayantunde AA. approach to the diagnosis and management... - Google Scholar,”) about the actual incidence (Goldberg and Steele, 2010). Screening test for hepatitis B, hepatitis C, HIV, were non-reactive, blood sugar was 90 mg/dl and urea creatinine were in normal range Abdominal x-ray was unremarkable He was shifted to operation theatre after anesthesia induction lithotomy position was made, examination was done in general anesthesia, and a huge foreign body was felt by a digital rectal examination. Proctoscopy examination confirmed in the rectuma yellowish firm to hard foreign It was removed by gentle manipulation with finger and instruments per rectally, gently dilating the anal sphinter, initially some pieces removed, latter on entire body was retrieved. It was a large potato, approximately it was 14x6 cm. post-operative recovery was smooth he was discharged day
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