Case of paraphilia with foreign body in descending colon

A 28-year-old male with no known co-morbidities or illness came to the emergency department with a foreign body inserted in the rectum for the pleasure of autoeroticism. On examination of the abdomen foreign body was felt at the left hypochondrium. A digital rectal examination was done foreign body was not palpable, clinical features were suggestive of retained foreign body in the large intestine. X-ray abdomen showed - Shadow within the shadow in the region of the large bowel. Retrieval of the foreign body could be laparoscopy or laparotomy or colonoscopy. Colonoscopy was done and identified the foreign body in descending colonnear the splenic flexure. Colonoscopic retrieval of foreign body was attempted, but could not be retrieved because of the colon's large size and thinned-out mucosa. Hence planned exploratory laparotomy was done and the foreign body was present, in the descending Colon. The foreign body was milked from above through the pelvic floorand it was removed from the anal canal. Removing foreign bodies has evolved with technological advancements, with laparoscopy, endoscopy, and minimally invasive surgical alternatives. In this article, we have presented a unique case of foreign body removal through laparotomy.