Self-Insertion of a Screwdriver into the Rectum for Sexual Pleasure: A Case Report

Background Rectal foreign bodies are rare conditions that happen mostly for sexual purposes. Sex toys are the commonest objects. A 56 year old man came to the emergency department of the Shahid Beheshti Hospital with pain in the left lower quadrant of his abdomen and a feeling of discomfort in the anal area. Digital rectal examination was normal but a metal object was palpable 8cm distal to the anal verge. A plain x-ray demonstrated a screwdriver in the rectum. Initial attempts at manual extraction were unsuccessful in the emergency department. An attempt at removing the screwdriver from the rectum using Kelly Forceps with the patient in the jackknife position was successful.