• Sonal Arora, Hutan Ashrafian, Elliott D Smock, and Philip Ng.
• Department of Biosurgery and Surgical Technology, Imperial College, London, United Kingdom. sonal.arora06@imperial.ac.uk
• J Laparoendosc Adv Surg Tech A. 2009 Jun 1;19(3):401-3.

AbstractWe describe the case of a 43-year-old male who presented with lower abdominal pain following rectal foreign body introduction and self-removal. Clinical examination revealed generalized peritonitis with pneumoperitoneum on Erect Chest X-ray. At laparoscopy a perforation in the sigmoid colon was found and successfully repaired. In view of contamination, the bowel proximal to the perforation was exteriorized as a loop colostomy without conversion to open laparotomy. The patient was discharged home four days later: He subsequently underwent successful reversal of his colostomy at four months. Herein we present to the best of our knowledge the first case in the literature of a successful total laparoscopic repair of sigmoid perforation resulting from transanal foreign body abuse.

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