Foreign Bodies in the Rectum: Case presentation of 2 patients

Zeren, Sezgin; Bayhan, Zülfü; Algın, Mustafa Cem; Mestan, Metin; Arslan, Ümit

doi:10.14744/nci.2015.30592

Cited by 3 publications

(5 citation statements)

References 7 publications

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“…Insertions of a wide variety of foreign bodies have been reported mostly plastic or glass bottles, soda or beer bottles, deodorant containers, wooden or rubber objects, and household objects. 7 Commonly reported objects are betel nuts, bones, batteries, etc. in involuntary ingestion while beverage bottles and candles are more commonly associated with cases of sexual gratification.…”

Section: Discussionmentioning

confidence: 99%

“…8 X-ray abdomen and pelvis help in localizing the foreign body while computed tomography (CT) scans are sometimes necessary to rule out complications (intestinal perforation). 7 Due to delayed presentation wide variety of rectal foreign bodies causes severe injury and damage ranging from mucosal injury to free intestinal perforation which results from the difficulty in diagnosis and management and leads to sepsis and death. 10 These patients require urgent interventions to relieve symptoms and prevent complications.…”

Section: Discussionmentioning

confidence: 99%

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Rectal Foreign Body: A Case Report

Nepal¹,

Maharjan

Chalise

et al. 2022

J Nepal Med Assoc

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The rectal foreign body is a rare presentation, often related to sexual gratification, sexual assault, or the result of ingestion and rarely accidental, and with rising incidence. We present a case of a 47-year-old heterosexual male with an alleged history of accidental insertion of a foreign body through the anus three days prior without peritonitis or obstipation. After investigations, the patient underwent a failed sigmoidoscopic removal followed by exploratory laparotomy, foreign body removal, and an uneventful post-operative period. It should be noted that early diagnosis and timely intervention are important to prevent complications in rectal foreign bodies. Assessment of the shape, size, nature, and location of the object through appropriate imaging is necessary. Exploratory laparotomy is inevitable in cases of failed manual extraction techniques and complicated cases.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Rectal Foreign Body: A Case Report

Nepal¹,

Maharjan

Chalise

et al. 2022

J Nepal Med Assoc

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“…These foreign bodies can be classified under two major groups: the ones that are inserted from the anus and the ones that are swallowed and thereafter become stuck in the rectum. Rectal foreign bodies represent a challenging and unique field of colorectal trauma" [1].…”

Section: Introductionmentioning

confidence: 99%

Foreign Body in Rectum: A Rare Case Report

Goswami,

Giri,

Akhter

2023

IJMPCR

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Rectal foreign body is a rare clinical entity. Approach includes a careful history and examination to rule out peritonitis and removal by conservative or operative approach. Most commonly bottles and glasses found. Other objects include toothbrushes, deodorant bottles, food articles, knives, cell phones, flash lights, ornaments, etc. Reasons for insertion include autoeroticism, concealment, attention seeking behaviour, accidental, assault and to alleviate constipation. Case Report: A 41 years old male came to emergency with complaint of pain per rectum from a bottle he had inserted in his rectum 10 hours prior to presentation. Multiple attempts to remove it at home failed. On examination abdomen was soft, non-tender, non-distended. An abdomen xray showed a large bottle shaped object in pelvis. The foreign body was palpable in the rectum but due to it’s shape, size and smooth surface it was impossible to retrieve it with simple manoeuvring even with simultaneous suprapubic pressure. All relevant investigations were done and patient was prepared for surgery. Exploratory laparotomy was done under spinal anaesthesia. Lower midline incision was given and bottle was pushed from above and taken out of anal canal. A glass bottle of size 11*5 cm was retrieved. Antibiotics and painkillers started. Patient recovered well and discharged on post op day 2. Conclusion: Management of patients with rectal foreign bodies can be challenging. Even though the majority of cases can be successfully managed conservatively, the operative techniques might also be needed.

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“…1 Foreign bodies are rarely seen in lower GI or rectum, inserted either accidently or for sexual satisfaction or to inflict harm. 2 Various kinds of foreign object may be observed in the rectum, including sharp instruments that may pierce rectum, colon, or create visceral organ injuries. Locating and extracting the item is an emergency procedure that can have serious complications.…”

Section: Introductionmentioning

confidence: 99%

“…Locating and extracting the item is an emergency procedure that can have serious complications. 2 In series we have 3 case scenarios of unusual foreign body in rectum with varied clinical presentation, findings and different methods of management/extraction.…”

Section: Introductionmentioning

confidence: 99%

Unusual foreign body in rectum: a surgical curiosity

et al. 2021

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Rectal foreign bodies represent a unique and challenging field of surgical management which includes a careful history, physical examination and a high index of suspicion for complications. Foreign bodies are rarely seen in lower GI or rectum, inserted either accidently or for sexual satisfaction or to inflict harm. We have 3 case scenarios of unusual foreign body in rectum with varied clinical presentation, findings and three different methods of management/extraction done in our Institution. Patients present with common complaints of rectal or abdominal pain, constipation or obstipation, bright red blood per rectum, or incontinence. Initial step is to assess for peritonitis which is suggestive a perforation with intraperitoneal contamination and requires emergency exploratory. Erect Xray abdomen can reveal the presence of free air and the location of the object relative to the pelvic floor. A careful digital rectal examination is the most informative component of the evaluation process. Impacted foreign bodies may result in complications like intestinal obstruction, perforation of gut and peritonitis. Rectal foreign body is a diagnostic and management dilemma due to the delayed presentation owing to associated social stigma. Patients require a detailed examination and radiographic evaluation with resuscitation. Surgical intervention should be planned based on hemodynamic stability and presence/absence of perforation. Patient has to be referred to the psychiatrist for his perversion disorder, which is also mandatory for preventing recurrences.

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Foreign Bodies in the Rectum: Case presentation of 2 patients

Cited by 3 publications

References 7 publications

Rectal Foreign Body: A Case Report

Rectal Foreign Body: A Case Report

Foreign Body in Rectum: A Rare Case Report

Unusual foreign body in rectum: a surgical curiosity

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