PT  - JOURNAL ARTICLE
AU  - Saad Ikram
AU  - Shailendra Singh
AU  - Ramana Kallam
AU  - Ajay Dabra
TI  - A play that went wrong: Unique presentation of bowel perforation from an unusually large per-rectal foreign body
AID  - 10.1136/bcr-2017-222959
DP  - 2017 Dec 12
TA  - BMJ Case Reports
PG  - bcr-2017-222959
VI  - 2017
4099  - http://casereports.bmj.com/content/2017/bcr-2017-222959.short
4100  - http://casereports.bmj.com/content/2017/bcr-2017-222959.full
AB  - Colorectal foreign bodies (FBs) are not unheard of in the province of surgery. They are commonly seen in men ranging from 20 to 90 years of age with a bimodal age distribution. A variety of objects have been described and reported in literature. Management involves a complete history and examination followed by the necessary investigations. Most of the time they can be removed at bedside with some manipulation techniques employing the use of some ingenious devices and/or endoscopy for adamant objects. But persistent FBs or those that are high in the rectum or those that present with complications will require operative management. We present a case of a 77 cm long FB inserted rectally for sexual gratification in a male patient, which caused a large bowel perforation, ending high intra-abdominally at the level of the spleen and diaphragm after traversing the entire abdominal cavity and requiring a laparotomy for removal.