Foreign Body in the Rectosigmoid Colon: A Rare Case Report and Its Management

Background: rectal foreign bodies are uncommon in the emergency department, though their incidence has increased gradually in the past few decades. management depends on whether there is any perforation or not, and on the size, shape, consistency, and site of the foreign body. case presentation: a 55-year-old male with a history of foreign body insertion per rectum following an alleged history of assault. the patient was soft per abdomen without any signs of peritonitis on abdominal examination. in spite of repeated attempts in the emergency ward, we were unable to retrieve the foreign body per rectum manually. after retrieving the foreign body wholly via the transanal approach along with suprapubic pressure manually, the foreign body was a 25*5*5 cm cylindrical pencil case with a condom over it. conclusion: surgery with a laparotomy should be reserved for patients with perforation or ischemic bowel or cases of failed transanal attempts. after removal of the foreign body, we suggest a period of observation, rigid or flexible endoscopy to evaluate for rectal injury, and repeat plain films to examine for evidence of injury and perforation that may have occurred during the extraction process.