INTRODUCTION:Rectal foreign bodies are common, but foreign body made of glass with uneven sharp distal end and complicated with hypovolemic shock is very rare. It is very challenging to be removed by laparotomy and poses extra difficulty in emergency. PRESENTATION OF CASE: A 45-year-old man with complains of rectal foreign body and bleeding per rectum reported in emergency room. On examination patient was in hypovolemic shock and continuous bleeding through anal opening. Emergency laparotomy was per-formed and foreign body was retrieved successfully. DISCUSSION: Rectal foreign body made of glass with uneven sharp distal end towards distal end of rectum is very rare. Retrieval of these foreign bodies will be very difficult, especially for the emergency cases that are complicated with hypovolemic shock. Emergency laparotomy can be successfully performed to stop the bleeding and minimize rectal and anal canal trauma. To the best of our knowledge, such rectal foreign body has been rarely reported. CONCLUSION: Rectal foreign body with uneven sharp edges towards anal opening are difficult to retrieve trough transanal route. Hypovolemic shock due to bleeding and rectal perforation is major complications of these foreign bodies. Emergency laparotomy should be done in these cases.

INTRODUCTION:Abdominal pain is very common presentation in emergency department.It is vital that the physician has an understanding and be familiar with the presentations of common diseases that cause abdominal pain. Patients with acute abdominal pain are a heterogenous group that consumes a great deal of a surgical department's resources. AIM AND OBJECTIVE: To evaluate the use of the laparoscopy in the diagnosis and management of patients with nonspecific chronic and acute abdominal pain. MATERIAL AND METHODS: The material consists of patient in all surgical units of P.B.M. and Associated Group of Hospital attached to S.P.Medical College,Bikaner.This study includes 50 patients.In acute NSAP group 21 patients were present and in Chronic NSAP group 29 patients were included. RESULT:We found that the mean age was 29.38 and 26.17 years in acute and chronic group respectively.In acute group additional 4(19%) cases had vomiting, 3(14.2%) had fever, and 2(9.5%) had both vomiting and fever.While in chronic group 3(10.3%) cases had vomiting, 2(6.8%) had fever and 1(3.4%) case had both vomiting and fever. Efficacy of laparoscopy in chronic group was 86.2%.Laparoscopy made correct diagnosis in 25(86.2%) cases,3(10.3%) cases had normal study and 1(3.4%) case diagnosed as PID pain was not relieved. CONCLUSION: Our study establishes role of laparoscopy as a safe and accurate modality in diagnosis of both acute and chronic abdominal pain in cases where diagnosis can't be made with physical examination and non invasive methods.