A patient with a foreign body in the large intestine – a case report

Abstract

Cases of patients with foreign bodies impacted in the terminal part of the gastrointestinal tract are rarely encountered in everyday surgical practice. Injuries and sexual practices are the most common aetiology of foreign body impaction in the lower gastrointestinal tract. Different types of surgical interventions are often needed in patients with anal or rectal foreign bodies. We describe a case of a 45-year-old patient who reported to hospital with the symptoms of low gastrointestinal obstruction. The man introduced a large foreign body into his anus during sexual play and was unable to remove it by himself. An attempt to remove the foreign body through the perineal access was made, but was unsuccessful due to the size of the impacted object. The patient was qualified for surgical treatment. Laparotomy was performed, and the foreign body was removed by a simultaneous use of abdominal pressure and extraction from the anal canal.