Two Cases of Foreign Rectal Body and Injury Associated with Human Immunodeficiency Virus Infection

Abstract

Foreign rectal body and injury in masturbation are comparatively rare. We report two such cases associated with human immunodeficiency virus (HIV) infection.
Case 1: A 54–year–old man admitted for rectally inserting a foreign body underwent emergency surgery under spinal anesthesia when the foreign body, a spray can, could not be removed at the outpatient clinic. Case 2: A 49–year–old man admitted for abdominal pain after inserting his arm into his anus showed guarding and rebound tenderness. Abdominal X–ray showed free air. We conducted emergency surgery under general anesthesia for diffuse peritonitis due to digestive–tract perforation. Perforation due to anterior rectal aspect ulceration necessitated Hartmann′s colostomy. Both men were discharged without complication.