Colorectal foreign bodies: a systematic review

Abstract

The incidence of CFBs is disproportionately higher in men. Various techniques for removal are available, including some that are minimally invasive. The appropriate technique will depend on the size and surface of the retained object and the presence of complications such as perforation or obstruction.

Manual extraction of the rectosigmoid foreign body

“…Colorectal foreign bodies may cause intestinal obstruction, perforation, rectal fistula, perianal abscesses, anal stenosis or incontinence [1]. Lubricant use might reduce the risk of perforation when attempts to extract the foreign body manually and to apply abdominal wall pressure.…”

“…Kurer MA et al [1] had reviewed 193 patients with retained colorectal foreign bodies and 97.4% were male. Various rectal foreign bodies have been reported in the literature, among which bottles and sexual toys were most commonly encountered [1].…”

“…Kurer MA et al [1] had reviewed 193 patients with retained colorectal foreign bodies and 97.4% were male. Various rectal foreign bodies have been reported in the literature, among which bottles and sexual toys were most commonly encountered [1]. Some characteristics of foreign bodies such as smooth surface, a blunt caudal end, or friable nature, make them difficult for safely manual retrieval and require laparotomy and colostomy.…”

Rectal Foreign Bodies:A Retrospective Study

“…[7] In our study we found that all the patients were male. Kurer et al (2010) in their systematic review of 193 patients observed that 188 were male and 5 were female with a ratio of approximately 37:1. [2] Other authors [1,5] are also of the view that the majority are male in their 3rd and 4th decades.…”

“…A problem commonly encountered in patients with rectal foreign bodies is the delay in presentation. [1,2] While patients may be reluctant to disclose the cause of their presentation, diagnosis can be made in the majority of cases with accurate history and confirmed with plain radiographs. Yaman et al in their study of 29 patients observed that soft or low-lying objects could be grasped and removed safely in the emergency department, but grasping hard objects was potentially traumatic and occasionally resulted in upward migration.…”