Unusual presentation of a rectal foreign body: a diagnostic dilemma

Pei Pei Lee; Jitt Aun Chuah; Ratha Krishnan Sriram

doi:10.18203/2349-2902.isj20192998

Authors

Pei Pei Lee Department of Surgery, Queen Elizabeth Hospital, Sabah
Jitt Aun Chuah Department of Surgery, Queen Elizabeth Hospital, Sabah
Ratha Krishnan Sriram Department of Surgery, Queen Elizabeth Hospital, Sabah

DOI:

https://doi.org/10.18203/2349-2902.isj20192998

Keywords:

Bowel necrosis, Laparotomy, Rectal foreign body

Abstract

Rectal foreign bodies present a challenge to surgeons from obtaining the correct diagnosis to managing the patient due to a wide array of presentation. Diagnostic dilemmas often arise as patients are sometimes unwilling to disclose the actual history and seek medical attention late. We present a case of a 65 year old Asian gentleman who present with history of per-rectal bleeding, tenesmus, acute urinary retention, constitutional symptoms with investigations suggestive of rectal malignancy. Intraoperatively identified a rubber-like foreign body tightly packed in the pelvic-cavity with severe injury to the rectum requiring abdominal-perineal resection.

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Author Biography

Jitt Aun Chuah, Department of Surgery, Queen Elizabeth Hospital, Sabah

State Surgeon, Department of Surgery

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