Removal of a foreign body from the distal colon using a combined laparoscopic and endoanal approach: report of a case.

Abstract

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. The foreign body was mobilized laparoscopically, pushed down the rectum, and then extracted transanally with the aid of a dilator anoscope. Combining the laparoscopic and anal approaches in selected cases of colorectal foreign bodies is useful.