Increasing trend in retained rectal foreign bodies

Abstract

AIMTo highlight the rising trend in hospital presentation of foreign bodies retained in the rectum over a 5-year period.METHODSRetrospective review of the cases of retained rectal foreign bodies between 2008 and 2012 was performed. Patients’ clinical data and yearly case presentation with data relating to hospital episodes were collected. Data analysis was by SPSS Inc. Chicago, IL, United States.RESULTSTwenty-five patients presented over a 5-year period with a mean age of 39 (17-62) years and M: F ratio of 2:1. A progressive rise in cases was noted from 2008 to 2012 with 3, 4, 4, 6, 8 recorded patients per year respectively. The majority of the impacted rectal objects were used for self-/partner-eroticism. The commonest retained foreign bodies were sex vibrators and dildos. Ninty-six percent of the patients required extraction while one passed spontaneously. Two and three patients had retrieval in the Emergency Department and on the ward respectively while 19 patients needed examination under anaesthesia for extraction. The mean hospital stay was 19 (2-38) h. Associated psychosocial issues included depression, deliberate self-harm, illicit drug abuse, anxiety and alcoholism. There were no psychosocial problems identified in 15 patients.CONCLUSIONThere is a progressive rise in hospital presentation of impacted rectal foreign bodies with increasing use of different objects for sexual arousal.

Removal of an impacted rectal foreign body - avoiding laparotomy

“…The true incidence in our population is unknown as many cases are unreported due to the nature of the condition [2]. Abraham et al reported that there is an increase in incidence of rectal foreign bodies presented to the emergency departments in the United Kingdom [3]. Patients normally seek medical attention when attempts at self removal fails at home.…”

Kolorektale Fremdkörper – eine Herausforderung für Patient und Arzt

“…Fallberichte ziehen sich in der Literatur durch sämtliche Jahrzehnte [2]. Manche Autoren beschreiben gar eine steigende Inzidenz [3,4].…”

Sigmoid Resection and Primary Anastomosis Without Any Diversion or Exteriorization for Impacted Foreign Body in Sigmoid Colon

“…These are difficult to visualize and remove. 2 Lowlying FBs that are below the recto-sigmoid junction and normally palpable on DRE and easier to visualize and remove. Patients with CRFBs are usually aware of their presence and often present requesting removal.…”

“…Patients with CRFBs are usually aware of their presence and often present requesting removal. 2 and usually present with rectal pain, per rectal bleeding, constipation and pain in the abdomen. More serious complaints are indicative of perforation causing peritonitis, fever, vomiting, or severe pain etc.…”