Retroperitoneal Rectal Perforation Due to Pomegranate Seed Bezoar: A Rare Case

Abstract

Various causes are involved in rectal perforation aetiology, including: Iatrogenic perforations, traumatic perforations, malignant or diverticular disease perforations, stercoral perforations, and idiopathic perforations. Rectosigmoid perforations are life-threatening and require immediate diagnosis and surgical treatment. Bezoars are accumulations of indigestible foreign matter that accumulate in the gastrointestinal tract. Seed vesicles are a subset of phytobizzars produced by plant seeds or undigested fruit kernels. Most Intestinal bezoura occur in the rectum, causing constipation or nonspecific abdominal or rectal pain. The following is a report of a case of pomegranate seeds in the rectum that resulted in retroperitoneal rectal perforation.