DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.029

Pages: 986-988

Introduction: Intrarectal foreign bodies are a rare medico-surgical emergency, often associated with delayed presentation. Case report: We report the case of a 51-year-old man with an undocumented psychotic disorder treated with alprazolam, who presented to the emergency department with diffuse abdominal pain evolving for three days after the voluntary insertion of an approximately 30 cm rod into the rectum. Clinical examination was unremarkable except for a foreign body palpable on digital rectal examination. Radiologic workup (plain abdominal X-ray and CT scan) confirmed the presence of the foreign body without complications. Manual extraction was performed in the operating room under sedation, with favorable outcome. Discussion: Management depends on the nature of the object, its location, and the presence of complications. Transanal extraction remains the first-line treatment in the absence of signs of severity. Conclusion: Prompt and appropriate management can prevent complications. Psychiatric evaluation is recommended.