Successful removal of an unusual rectal foreign body with a Kocher clamp.

A 26-year-old man presented at our emergency department with a history of severe pelvic pain and bloating. The patient reported that he had inserted a large light bulb in his rectum about 3 hours prior to presentation. On digital rectal examination, a foreign body with an irregular surface was palpated. An X-ray image of the pelvic region revealed a large light bulb in the rectum ([Fig. 1]). Attempted manual removal of the foreign body using suprapubic pressure failed. Colonoscopy revealed that the bulb in the rectum was completely obstructing the lumen ([Fig. 2]). A polypectomy snare failed to remove it because of the bulb’s round, smooth surface. The foreign body was completely removed without complication using a long Kocher clamp under colonoscopic observation and thus avoiding surgery ([Fig. 3]). Control endoscopy showed only mild superficial scratches on the rectal mucosa.