DOI: https://doi.org/10.36347/sasjs.2026.v12i01.010

Pages: 61-63

Background: Rectal foreign bodies represent a rare but challenging surgical emergency, often due to voluntary insertion for various reasons, leading to impaction, obstruction, and potential perforation. Management ranges from transanal retrieval to laparotomy for proximal objects. Case Presentation: A middle-aged male presented with lower abdominal pain and obstipation for 2 days. Digital rectal examination revealed a collapsed rectum without palpable mass. Imaging confirmed a radiolucent cylindrical foreign body (? plastic) in the lower rectum, with colonoscopy showing mucosal erosions, ulcers, and the object at the rectosigmoid junction. Exploratory laparotomy with sigmoid enterotomy facilitated removal of a 20 cm long broom stick handle, followed by sigmoid loop colostomy. Postoperative recovery was uneventful, with colostomy closure after 6 months. Conclusion: High impacted rectal foreign bodies necessitate tailored surgical intervention. Psychiatric evaluation is essential to prevent recurrence.