STUCK UP!!!- CASE REPORT OF A RECTAL FOREIGN BODY

Abstract

Rectal foreign bodies have a been a part of history for causing anorectal trauma. The first described report on the management of retained rectal foreign bodies dates back to the 16th century,and the first case reports of the modern era were published in 1919. The mean age at presentation is 44 years with a decidedly higher proportion of male patients.Mostly the foreign body found in rectum are inserted with an attempt to hide illegal objects or for sexual activities, and patients do not share complete and proper history with the treating doctor because of Embarrassment which complicates the management. We present a case of 30-year-old /M, who works in a plastic factory presented to casualty with c/o Constipation and Abdominal pain. On Detailed History the Patient explained the incident of inserting a self-made plastic tube in the Rectum which failed to come out on trying. On Xray Abdomen Erect s/o dilated bowel loops, with no gas under diaphragm. CECT showed large oblong foreign body in Rectum. Patient was taken to operating room and Manual removal of Foreign Body done under Spinal Anaesthesia. Foreign body was found to be a tubular, blunt, atraumatic plastic tube. Thus, we present a case of Rectal Foreign body which could be removed without operative intervention as the object was blunt and patient presented early to casualty.