A rare case of presence of unusual foreign body in rectum in homosexual male

Abstract

Foreign body in the rectum is rare yet potentially life-threatening condition; fear of social embarrassment causes the patient to delay
to seek treatment and even hide the actual history and replace imaging reports, which leads to incorrect diagnosis and eventually the
treatment. In this article, we report the case of a 30 years hepatitis B positive, homosexual male who presented to the department
with a chief complaint of pain in the lower abdomen and was diagnosed to have foreign body (pestle) in rectum, which was inserted
as a part of sexual adventure and deliberate attempt was made by the patient to replace X-ray films with other patients to mislead
the treating doctor. Finally, the foreign body was removed surgically and was followed by psychiatric evaluation of the patient.