Foreign Body in the Rectum: A Case Series of 20 Patients (2021–2025)

Ashutosh Singh; Abhishek Singh; Shaik Hussain; Dhananjay  Talaviya

doi:10.64387/tjs.2026.276630

Authors

Ashutosh Singh K.D. Medical College, Mathura, Uttar Pradesh
Abhishek Singh K.D. Medical College, Mathura, Uttar Pradesh
Shaik Hussain K.D. Medical College, Mathura, Uttar Pradesh
Dhananjay Talaviya K.D. Medical College, Mathura, Uttar Pradesh

DOI:

https://doi.org/10.64387/tjs.2026.276630

Keywords:

Rectal foreign body, Emergency surgery, Sexual gratification, Colorectal injury, Case series

Abstract

Background: Rectal foreign bodies are uncommon presentations in surgical practice but have seen a steady rise due to changing social and sexual behaviors. Prompt diagnosis and proper management are essential to avoid serious complications.

Objective: To analyze clinical presentations, types of foreign bodies, management strategies, and outcomes in 20 patients treated for rectal foreign bodies between 2021 and 2025.

Materials and Methods: A retrospective analysis of 20 cases presenting to a tertiary care hospital was conducted. Clinical data, including demographics, type and cause of foreign body insertion, management approach, and outcomes, were recorded.

Results: The majority were males (90%) with a mean age of 36.5 years. Most insertions were self-induced for sexual gratification. Objects included bottles (30%), vegetables (25%), sex toys (20%), and metallic tools (10%). Manual removal under anesthesia was successful in 75% of cases, while 25% required surgical intervention. No mortality was recorded, but 10% had mucosal injuries.

Conclusion: Early recognition, non-judgmental patient handling, and an algorithmic approach help ensure safe extraction and avoid complications.

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