Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jun 26, 2024; 12(18): 3548-3554
Published online Jun 26, 2024. doi: 10.12998/wjcc.v12.i18.3548
Colon perforation with severe peritonitis caused by erotic toy insertion and treated using vacuum-assisted closure: A case report
Cheng-You Lin, Ta-Wei Pu
Cheng-You Lin, Department of Surgery, Division of Colon and Rectal Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
Cheng-You Lin, Department of Surgery, Taichung Armed Force General Hospital, Taichung 411, Taiwan
Ta-Wei Pu, Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital Songshan branch, National Defense Medical Center, Taipei 105, Taiwan
Author contributions: Lin CY collected data and drafted the case report; Pu TW provided expert opinions and made revisions; All authors have read and approve the final manuscript.
Informed consent statement: Informed written consent was obtained from the patient for the publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Cheng-You Lin, MD, Surgeon, Department of Surgery, Division of Colon and Rectal Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 348 Sec. 2, Zhongshan Road, Taiping District, Taichung City, Taipei 114, Taiwan.
Received: February 25, 2024
Revised: April 19, 2024
Accepted: May 6, 2024
Published online: June 26, 2024
Processing time: 114 Days and 3.5 Hours

Colorectal foreign bodies are commonly encountered during surgery. They are frequently observed in men 20 to 90 years of age and have bimodal age distribution. Surgical management is necessary for cases of rectal perforation. However, surgical site infections are the most common complications after colorectal surgery.


We discuss a case of rectal perforation in a patient who presented to our hospital 2 d after its occurrence. The perforation occurred as a result of the patient inserting a sex toy in his rectum. Severe peritonitis was attributable to delayed presentation.


Vacuum-assisted closure was performed to treat the wound, which healed well after therapy. No complications were noted.

Keywords: Colorectal surgery, Foreign bodies, Intestinal perforation, Surgical site infection, Wound closure techniques, Case report

Core Tip: This study highlights a case of rectal perforation due to a foreign body insertion, leading to severe peritonitis due to delayed presentation. The innovative use of vacuum-assisted closure resulted in successful wound healing with no complications, emphasizing its potential effectiveness in managing such cases.