Rectal Foreign Bodies: What Is the Current Standard?

Abstract

Rectal foreign bodies represent a challenging and unique field of colorectal trauma. The approach includes a careful history and physical examination, a high index of suspicion for any evidence of perforation, a creative approach to nonoperative removal, and appropriate short-term follow-up to detect any delayed perforation.

Rectal Foreign Bodies:A Retrospective Study

“…Voluntarily inserted objects include body packers or for sexual erotism while involuntarily inserted objects is seen in rape or abuse victims, and unfortunately commonly affect children. [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.…”

Removal of an impacted rectal foreign body - avoiding laparotomy

“…If there no evidence of bowel perforation several techniques of extraction may be attempted. Bedside transanal extraction has been reported to be successful in 60-75% of cases [4]. Endoscopic extraction with snare wire may also be attempted which however may not be successful as seen in our case, due to the size of the FB and its shape which prevented an adequate grip with the snare-wire.…”

Proctalgia and colorectal stricture as the result of a 2-year transit of a retained rectal chicken bone: a case presentation and review of the literature

“…Prompt removal of foreign bodies is advisable prior to the development of complications. Removal may be attempted in the ED for objects palpated on per rectum examination and for those that are <10 cm proximal to the anal verge 7. Many authors have recommended an algorithm for management, with a routine approach of initially attempting bedside extraction with local anaesthesia and sedation in patients with no signs of peritonitis.…”