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Impacted Drug-Packet in the Sigmoid Colon in a Resource-Constrained Setting: A Case Report

Elroy Patrick Weledji¹, Verdo Zisuh Anutebeh¹

¹Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.

Case Reports in Gastroenterology

|October 24, 2026

Abstract

Introduction:

The management of a retained cannabis-filled packet in the colorectal portion of the gut depends on its depth and the consequences caused.

Case Presentation:

This is a case of a young male prisoner in sub-Saharan Africa, Cameroon who presented with progressive lower abdominal pain and constipation from an impacted foreign body (FB) in the sigmoid colon. This followed the insertion of the FB per annum. The primary challenges of transanal FBs which then become lodged are patient embarrassment, which can delay presentation and increase the risk of complications such as bowel perforation, and the difficulty of removing the object. Following failed conservative management, the impacted FB in the sigmoid colon was retrieved through a laparotomy.

Conclusion:

The learning point in this case is that a retained FB in the sigmoid colon has a much higher chance of retrieval through a laparotomy than transanally.

Keywords:

Colorectal Foreign body Sigmoid colon

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