title: Removal of a foreign body from the distal colon using a combined laparoscopic and endoanal approach: report of a case.
abstract: OBJECTIVE
  We describe the case of a of 53-year-old homosexual male, from whom a cigar container (22 cm in length and 3.5 cm in diameter), which was introduced into the rectum and migrated upwards to the distal colon, was successfully extracted by combining laparoscopic and anal approaches.
  
  
  METHODS
  The foreign body was mobilized laparoscopically, pushed down the rectum, and then extracted transanally with the aid of a dilator anoscope.
  
  
  CONCLUSIONS
  Combining the laparoscopic and anal approaches in selected cases of colorectal foreign bodies is useful.
authors.affiliation: Division of General Surgery, San Leonardo Hospital, Castellammare di Stabia, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Rispoli
authors.forename: C
authors.initials: C
authors.lastname: Esposito
authors.forename: T D
authors.initials: TD
authors.lastname: Monachese
authors.forename: M
authors.initials: M
authors.lastname: Armellino
mesh_terms: D003106:Colon / Q000293:injuries*; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011351:Proctoscopy / Q000379:methods*; D012007:Rectum / Q000293:injuries*