title: Total laparoscopic repair of sigmoid foreign body perforation.
abstract: We 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.
authors.affiliation: Department of Biosurgery and Surgical Technology, Imperial College, London, United Kingdom. sonal.arora06@imperial.ac.uk
authors.forename: Sonal
authors.initials: S
authors.lastname: Arora
authors.forename: Hutan
authors.initials: H
authors.lastname: Ashrafian
authors.forename: Elliott D
authors.initials: ED
authors.lastname: Smock
authors.forename: Philip
authors.initials: P
authors.lastname: Ng
mesh_terms: D000328:Adult; D012809:Colon, Sigmoid / Q000293:injuries* / Q000601:surgery*; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D010538:Peritonitis / Q000209:etiology; D011027:Pneumoperitoneum / Q000209:etiology; D012007:Rectum