A long foreign body inserted through the rectum that has entered the abdominal cavity.

Rectal foreign bodies are commonly observed in middle‐aged men in the context of autoerotic instrumentation. Previous studies have reported a variety of objects in patients. , , We present the case of a 53‐year‐old man who lost a long sex toy in his rectum; it was inserted in his anus by his male partner for sexual stimulation and could not be removed. He visited our hospital 24 h later. On initial examination, he complained of severe lower abdominal pain. The foreign body was not palpable in a rectal examination and could not be located by anoscopy. Computed tomography revealed a sex toy in the shape of male genitalia on both sides (44 × 4 cm), located below the liver from the pelvis (Fig. 1A, 3‐D reconstruction; Fig. 1B, sagittal view). Free air was noted (Fig. 1B, yellow arrow). Endoscopy carried out under general anesthesia did not reveal the foreign body. Therefore, we undertook a laparotomy, and the foreign body was located in the abdominal cavity and removed (Fig. 1C). A 5‐cm perforation of the rectum (Rs portion) was closed with sutures and a loop sigmoid colostomy was created. We succeeded in saving the patient. He was discharged after 20 days.

Fig. 1

Computed tomography scans showing a 56‐year‐old man with a sex toy in the shape of male genitalia on both sides, 44 × 4 cm, located below the liver from the pelvis. A, 3‐D reconstruction. B, Sagittal view; yellow arrows show free air. C, The foreign body was removed intraoperatively.

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Disclosure

Approval of the research protocol: Our institution does not require review board approval for case reports.

Informed consent: Informed consent was obtained from the patient and his families.

Registry and the registration no. of the study/trial: N/A.

Animal studies: N/A.

Conflict of interest: None.