Removal of a Foreign Body from the Distal Colon Using a Combined Laparoscopic and Endoanal Approach: Report of a Case

PURPOSE 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. Rispoli G, Esposito C, Monachese D, Armellino M. Removal of a foreign body from the distal colon using a combined laparoscopic and endoanal approach: report of a Case. Dis Colon Rectum 2000;43:1632–1634.