An Unusual Case of an Intraperitoneal Foreign Body

Shazra Khalid; Arslan Sharif Malik; Muhammad Uzair ilyas Tahir Kheli; Aamir Hussain; Hasnain Afzal; Sadia Allah Baksh

doi:10.51253/pafmj.v75i1.10763

Authors

Shazra Khalid Department of General Surgery. Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan
Arslan Sharif Malik Department of General Surgery, Combined Military Hospital Khairan/National University of Medical Sciences (NUMS) Pakistan
Muhammad Uzair ilyas Tahir Kheli Department of General Surgery. Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan
Aamir Hussain Department of General Surgery. Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan
Hasnain Afzal Department of General Surgery. Combined Military Hospital Malir/National University of Medical Sciences (NUMS) Pakistan
Sadia Allah Baksh Department of General Surgery, Sindh Institute of Urology & Transplantation, Karachi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i1.10763

Keywords:

Intraperitoneal foreign body, Rectal foreign body, Pneumoperitoneum, concealed gut perforation

Abstract

We report a case of an intraperitoneal foreign body lodged in the rectum by the patient. Our patient was a 42-year-old male, who presented within 48 hours of inserting the event. Radiologically, pneumoperitoneum was present but intraoperatively, no gut perforation was found. This study aims to report managing such a case while emphasizing the possibility of concealed gut perforation. We want to emphasize the importance of a surgeon demonstrating compassion while collecting claims of such nature, owing to the numerous associated social taboos. It is observed that patients insert objects through the rectum for sexual gratification, however, during history taking they tend to deny it. This case highlights the delayed nature of presentation in a case that needed a crucial multidisciplinary approach for management

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