DOI: https://doi.org/10.36347/sjmcr.2026.v14i09.028

Pages: 2075-2081

Background: Rectal foreign bodies (RFBs) represent an uncommon but increasingly encountered proctological emergency. Management can be challenging, particularly in cases of delayed presentation or proximally located objects. The primary goal is safe extraction while minimizing morbidity and avoiding laparotomy. Methods: We conducted a retrospective descriptive study including four male patients presenting with rectal foreign bodies. Clinical, radiological, and therapeutic data were analyzed. Three patients underwent abdominopelvic computed tomography to exclude complications. A standardized transanal extraction under general anesthesia using a bimodal technique (abdominal pressure combined with transanal manipulation) was performed in all cases. Results: The mean age was 65 years (range 58–71). The delay of presentation ranged from 12 hours to 15 days. Objects included three plastic sex toys and one glass bottle measuring up to 24 cm. One patient presented with signs of bowel obstruction. In all cases, CT scan ruled out perforation. Transanal extraction under general anesthesia was successful in 100% of cases, including a delayed case with a large and fragile object. No intraoperative or postoperative complications were observed. The mean hospital stay was 24 hours. Conclusion: Transanal extraction under general anesthesia using a standardized bimodal technique is a safe and effective approach for the management of rectal foreign bodies, even in delayed or complex cases. This strategy may help avoid unnecessary laparotomy when no signs of perforation are present.