A RARE CASE OF FOREIGN BODY RECTUM

Abstract

Foreign body in rectum are common
presentation encountered as surgical
emergencies. Most of the foreign body
can be removed per rectum under spinal
anasthesia. However some foreign body
get stuck in the pelvis and requires laparotomy.
Here we present a case of 55
year male came with complaint of accidental
entry of a glass bottle inside his
rectum while he sat for defecation. He
had no signs of peritonitis. Attempts to
remove it per rectum under spinal anaesthesia
failed and laparotomy was performed
to retrieve the object. Anterior
wall of rectum opened and foreign body
was removed in pieces.Then primary closure
of the rectum was done.As damage
to the rectum was suspected loop colostomy
was done. Colostomy closure was
done after 2 months. Smaller objects can
be removed per rectum whereas large
and sharp objects requires laparotomy to
avoid further damage to anorectum and
to prevent injury of surgeon's fingers