Endoscopy-assisted Removal of a Large Rectal Foreign Body by the Valsalva Maneuver

Son, Min Young; Park, Seun Ja; Moon, Won; Oh, Gyu Man; Park, Moo In; Kim, Sung Eun; Kim, Jae Hyun; Jung, Kyoungwon

doi:10.4166/kjg.2020.76.1.42

Cited by 3 publications

(2 citation statements)

References 10 publications

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“…A rectal exam can help to determine the size, location, grade of injury (if present), and whether the object can be removed manually 2. If the object is not palpable, endoscopy or surgery may be necessary 7…”

Section: Clinical Manifestationsmentioning

confidence: 99%

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Caring for a patient with a rectal foreign body

Parsh,

Oh,

Parsh

2023

Nursing

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CPN respond-While the causes for RFBs vary, common circumstances include sexual gratification, anal eroticism, accidental insertion, assault, "body packing" for concealing objects (such as drugs or weapons), and treatments for hemorrhoids and constipation. 1 Examples of RFBs include phallic-shaped items, lids, containers, jars, and toothbrushes. 2 Due to the embarrassment of the situation, patients often delay seeking medical attention, which can defer treatment by weeks, months, or even years. 3 Nurses must exhibit sensitivity and professionalism and know the clinical manifestations, management, and post-removal care related to RFBs to provide optimal and safe patient care. 4,5

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Section: Clinical Manifestationsmentioning

confidence: 99%

“…Identification of the RFB is critical to determining the appropriate method of removal 8. No standard of care for treatment currently exists, but choosing the safest and least invasive method of removal is a priority 7. Manual removal of the RFB in the ED is an option in some cases, as long as GI perforation has not occurred 8.…”

Section: Managementmentioning

confidence: 99%

Caring for a patient with a rectal foreign body

Parsh,

Oh,

Parsh

2023

Nursing

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Case study of rectal foreign body (plastic container of liquid glue) used as remedy for constipation

Usuda¹,

Kaneoka²,

Sugita³

2023

Visual Journal of Emergency Medicine

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Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire

TAŞ

CAN

YILDIRIM

2023

İzmir Tıp Fakültesi Dergisi

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The most common cause of rectal foreign bodies is objects used for sexual stimulation voluntarily by the patient. Different treatment methods are reported in the literature, and this article reports the transanal removal of the foreign body in the rectum with a snare wire without anesthesia, accompanied by colonoscopy. An 80-year-old male patient was admitted to the emergency room because of the plastic rectal shower head that remained in the rectum and could not be removed while he was using a rectal douche for constipation. Contrast-enhanced abdominal CT showed a foreign body located in the rectosigmoid region without perforation findings. 12x1.5 cm tubular, well-circumscribed plastic foreign body embedded in the stool was removed with the help of colonoscopy in a controlled manner by holding it from its distal end with the help of endoscopic snare wire. Rectal foreign bodies can often be removed by the patient.However, in cases of foreign bodies in the rectum admitted to the hospital, the treatment method varies according to the type and location of the object, the occurrence of the event, and whether there are perforation findings in physical examination and imaging.Digital rectal examination is the critical first step in evaluating a patient with a rectal foreign body. Bedside extraction as the first-line treatment for low-lying anorectal foreign bodies without signs of perforation; Endoscopic extraction is recommended as the first step in anorectal foreign bodies located high above the rectosigmoid junction. Because in cases without perforation, transanal removal of the foreign body is considered the first-line treatment and the success rate is approximately 75 %. The most essential condition for successful transanal removal of the foreign body in the rectum is the relaxation of the patient. Endoscopic examination is also recommended to evaluate the condition of the intestinal wall after the removal of the foreign body. In our case, we also removed the foreign body, which we found to be located in the middle rectum, in accordance with the literature, endoscopically.

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Endoscopy-assisted Removal of a Large Rectal Foreign Body by the Valsalva Maneuver

Cited by 3 publications

References 10 publications

Caring for a patient with a rectal foreign body

Caring for a patient with a rectal foreign body

Case study of rectal foreign body (plastic container of liquid glue) used as remedy for constipation

Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire

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