A retained rectosigmoid foreign body: unusual presentation.

Area of Science:

• Gastroenterology
• Colorectal Surgery
• Sexual Health

Background:

• Rectal foreign bodies are occasionally self-inserted for autoerotic purposes.
• Prolonged retention of these objects within the bowel lumen may not always cause severe complications.
• Discovery during evaluation for rectal symptoms is not uncommon.

Purpose of the Study:

• To report a case of a retained rectosigmoid foreign body.
• To discuss the clinical presentation and management of such cases.
• To emphasize the potential for asymptomatic prolonged retention.

Main Methods:

• Case presentation of a 64-year-old male with rectal symptoms.
• Diagnostic imaging to identify the rectosigmoid foreign body.
• Trans-anal removal under anesthesia.

Main Results:

• A foreign body was present in the rectosigmoid for 35 days.
• The patient experienced rectal symptoms but no life-threatening events.
• Successful removal was achieved via a trans-anal approach.

Conclusions:

• Foreign bodies inserted for autoeroticism can be retained in the rectum without immediate severe harm.
• Trans-anal removal is a feasible and safe option for rectosigmoid foreign bodies.
• Prompt evaluation of rectal symptoms is crucial for diagnosis and management.