To do or not to do: prolapsed, bleeding, rectal polyp, a dilemma in austere circumstances.

Polyps are defined as abnormal growth of tissue from a mucosal surface. Rectal polyps are the most common (2%) cause of gastro-intestinal bleed in children below 10 years. In adults, a rectal polyp presenting as an emergency with irreducible prolapse and massive bleeding causing severe anemia is seldom seen.

A bael () in rectum presenting with bowel obstruction in an elderly man.

A case of bowel obstruction resulting from bael fruit () in the rectum is described in an Indian Hindu elderly man. To our knowledge, this is probably the first reported case with such a presentation in available literature. Dilemma at unsuspecting clinical history and finding of clinical examination and imaging evaluation made the case more interesting and challenging to manage.