RECTAL FOREIGN BODIES: SEXUAL GRATIFICATION TURNED MISERY.
Chiak Yot NG1, Firdaus HAYATI2, Aishath Azna ALI3, Mohd Firdaus Che Ani4, Andee Dzulkarnaen ZAKARIA5
1Department of Medicine, and 2Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.
3Department of Surgery, Indira Gandhi Memorial Hospital, Male’, Republic of Maldives
4Department of Surgery, Faculty of Medicine, Universiti Teknologi MARA, Selangor, Malaysia.
5Department of Surgery, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.
Receiving referrals for a retained foreign body in the lower gastrointestinal tract is not something rare these days. Foreign body insertion can be classified as voluntary or involuntary which might present to the emergency department for assistance with removal. We describe a 25-year-old lady with abdominal pain and per-rectal bleeding after a retained foreign body in the rectum. She denied any peculiar activities but confessed after pelvic radiograph suggested a foreign body likely represents a self-inserted material in the rectum. Patients may present with a wide variety of symptoms but typically the history will be misleading fearing of prejudice and discrimination from the mainstream treatment. We highlight our surgical intervention and its literature review.
Keywords: Abdominal radiography, Foreign bodies, Laparotomy, Sexual orientation.
Corresponding author: Dr Firdaus Hayati, General Surgeon, Department of Surgery, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
Brunei Int Med J. 2020;16:73-76