A RARE CASE OF FOREIGN BODY RECTUM

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