Presentation
Intense abdominal pain with rectal bleeding after autoerotic activity with rectal foreign body (sex toys).
Patient Data
Age: 55 years
Gender: Male
From the case:
Rectum perforation by foreign body
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CT abdomen with contrast
Large laceration of the anterior wall of the rectum with pneumoperitoneum, peritoneal effusion, and diffuse stercoraceous peritonitis.
From the case:
Rectum perforation by foreign body
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Surgical report
Translation - "Stercoral peritonitis due to perforation of the rectum by a foreign body in a patient with hemodynamic instability. Laparotomy and resection of the rectum with a Hartmann's."
Case Discussion
Autoerotic activity with rectal foreign bodies may cause life-threating rectal injuries including lacerations, bleeding, perforation, and obstruction.
Acknowledgment: Dr.ssa Eleonora Renzi.
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