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A 50-year-old man was seen at the Accident and Emergency Department because of abdominal
pain. Physical examination revealed peritonitis. A shadow of an eel was noticed on
the abdominal radiograph (Fig 1). On further questioning, the patient admitted an eel was inserted into the rectum
in an attempt to relieve constipation. Emergency laparotomy found a 50 cm-long eel
biting the splenic flexure of the colon (Fig 2), and a 3-cm perforation was found over the anterior wall of the rectum (Fig 3, Fig 4). The rectum was divided at the site of perforation, and the proximal end was brought
out as colostomy. The postoperative course was uneventful. The patient was discharged
home on day 7.
Fig 1Abdominal radiograph shows eel in abdominal cavity (arrows show eel in abdomen).
