Laparoscopic management of a rectal foreign body complicated by rectovaginal fistula and pelvic abscess.

Rectal foreign bodies (RFBs) are relatively rare clinical occurrences; however, patient concealment of essential medical information may result in diagnostic delays and complicate subsequent retrieval procedures. This case report describes a 23-year-old female patient whose delayed presentation, attributed to embarrassment and shame, resulted in the development of a rectovaginal fistula, further complicated by pelvic and abdominal wall abscess formation. Given the deeply embedded nature of the foreign body and the severity of the associated complications, laparoscopic posterior colpotomy was performed, leading to successful removal. Postoperative follow-up demonstrated complete resolution of inflammatory symptoms and satisfactory healing of the incision site for the left lower abdominal abscess. In cases where RFBs are associated with severe complications or where essential clinical information is unavailable, laparoscopic surgery may represent a safe and effective alternative in selected cases.