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Rectal foreign bodies represent a challenging and unique field of colorectal trauma. The approach includes a careful history and physical examination, a high index of suspicion for any evidence of perforation, a creative approach to nonoperative removal, and appropriate short-term follow-up to detect any delayed perforation. Objectives: After completion of this article, the reader should understand the current evaluation and therapeutic management for patients with rectal foreign bodies. Rectal foreign bodies have a storied history as part of anorectal trauma. The first described report on the management of retained rectal foreign bodies dates back to the 16 th century, 1 , 2 and the first case reports of the modern era were published in

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