Anal Pain and Constipation – Beyond the Obvious

∗ Corresponding author. E-mail address: sandrabarbeiro@gmail.com (S. Barbeiro). As pain became more severe he came to our hospital for observation. When asked, the patient admitted a single use of rectal microenema one month before and digital rectal examination revealed a foreign body within the rectal ampulla. Endoscopic examination of the rectum identified a microenema device (Figs. 1 and 2), which was removed with an anoscopy and a foreign body forceps with addition of a Valsalva manouver by the patient (Fig. 3). No sedation was needed because of the distal localization of the object and good tolerability to the procedure. No complications were registered and the patient was rapidly symptoms free.