Total laparoscopic repair of sigmoid foreign body perforation

Area of Science:

• Gastroenterology
• Surgical Innovation
• Abdominal Surgery

Background:

• Rectal foreign body introduction can lead to severe intra-abdominal complications.
• Sigmoid colon perforation is a rare but serious consequence requiring prompt surgical intervention.
• Minimally invasive surgical techniques are increasingly explored for complex abdominal pathologies.

Observation:

• A 43-year-old male presented with lower abdominal pain and generalized peritonitis after self-removal of a rectal foreign body.
• Erect chest X-ray revealed pneumoperitoneum, indicating a perforated viscus.
• Laparoscopy identified a sigmoid colon perforation, necessitating surgical repair.

Findings:

• Successful total laparoscopic repair of the sigmoid colon perforation was achieved.
• A temporary loop colostomy was created due to contamination, avoiding open laparotomy.
• The patient experienced a short hospital stay and successful colostomy reversal at four months.

Implications:

• This case demonstrates the feasibility and success of a totally laparoscopic approach for sigmoid perforation due to foreign body abuse.
• Laparoscopic surgery offers potential benefits such as reduced hospital stay and faster recovery in managing such injuries.
• This represents a novel approach, potentially setting a precedent for managing similar rare surgical emergencies.