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Journal of Forensic
Medicine and Toxicology
(International Edition)
A peer Reviewed Journal Dedicated to the
promotion of all branches of medicine and
science useful in the administration of justice.


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Shafi Muhammad Nizamani,1 Anshoo Agarwal,1 Hamid Ali,3 Siew S 2


Rectal foreign body is no longer a medical oddity. The majority of objects are inserted by self introduction in children, psychiatric patients, in victim of assault and as a result of sexual gratification. It causes lower abdominal pain and rectal bleeding. The presence of a foreign body in the rectum has always been a challenge due to associated medico legal issues with it. Many times we encounter drug smugglers referred by custom department from air ports. Few cases are seen where the reason has been given it to be as a torture by other persons and victim approach for medico legal help. Though the inserted foreign body can be removed by surgeons but so far as legal matter are concerned this problem carries complex issues like, whether it is a self insertion or it has been inserted by other person with consent or without consent. In case it is without consent then it is considered as a case of assault /torture. In such case further issue arises as how to report the nature of injury and manner of injury as if foreign body removal needs laparotomy, then penal code will be different and if the removal is transanal without any complication and the stay in hospital less than 20 days then the penal code will be different which needs further discussion. We report a case study of a foreign body in the rectum inserted with a purpose to torture and its related medico legal issues related to the physicians dealing with medico legal cases and for public awareness.


Foreign body; Torture; Rectum; Medicolegal; Glass bottle.



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1. University Technology MARA
Dept. of Pathology, Faculty of Medicine, Malaysia
2. Institute of National Forensic Medicine, HKL, Malaysia.
3. Police Surgeon Karachi, Pakistan .
Corresponding author:
Dr. Nizamani SM
Tower, Level 14, Faculty of Medicine, Shah Alam 40450
Malaysia. Email: shafinizamani@hotmail.com


All rights reserved with Medico-Legal Society

Journal of Forensic Medicine and Toxicology,
Dept. of Forensic Medicine & Toxicology, All India Institute of Medical Sciences,
New Delhi, INDIA.