Removal of foreign body impacted in rectum: a case report

An unusual case is reported here in which a smooth metal cup stuck up-side-down in the inflamed rectum of a young man for three days was successfully removed after bending the cup to dis-impact it. The patient had consulted multiple hospitals but was refused treatment. He had a lax anal sphincter but the rim of the cup was impacted into the inflamed rectal wall. Bi-valved vaginal speculum and Deaver retractor were used to dis-impact the rim on three sides. A strong artery forceps was used to twist the fourth side inwards thus freeing the edge and to slide the cup out of the anal orifice. This techruque is suitable for metallic foreign bodies with a large diameter impacted in the rectum