Removal of Rectal Foreign Bodies Using Tenaculum Forceps Under Endoscopic Assistance

Abstract

The incidence of rectal foreign bodies is increasing by the day, though not as common as that of upper gastrointestinal foreign bodies. Various methods for removal of foreign bodies have been reported. Removal during endoscopy using endoscopic devices is simple and safe, but if the foreign body is too large to be removed by this method, other methods are required. We report two cases of rectal foreign body removal by a relatively simple and inexpensive technique. A 42-year-old man with a vibrator in the rectum was admitted due to inability to remove it by himself and various endoscopic methods failed. Finally, the vibrator was removed successfully by using tenaculum forceps under endoscopic assistance. Similarly, a 59-year-old man with a carrot in the rectum was admitted. The carrot was removed easily by using the same method as that in the previous case. The use of tenaculum forceps under endoscopic guidance may be a useful method for removal of rectal foreign bodies.

Rectal Foreign Body of Eggplant Treated Successfully by Endoscopic Transanal Removal

“…To date, in 10 reports in which rectal foreign bodies were removed under endoscope guidance, foreign bodies were removed using a snare or forceps for polypectomy and using a urinary balloon (Table 1 ) [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 ]. In addition, different types of foreign bodies commonly include vibrators, bottles, fruits, cigar cases, etc.…”

Successful Transanal Removal of a Rectal Foreign Body by Abdominal Compression under Endoscopic and X-Ray Fluoroscopic Observation: A Case Report

“…Most objects can be safely removed during an endoscopy procedure with the assistance of endoscopic devices such as a snare or forceps [8], while Kocher clamps, suction devices, and various grasping forceps, though designed for other purposes, have been effective [9, 10]. However, when foreign bodies are too large to be removed by those, other methods, including surgery, are required.…”

“…Endoscopic assistance for removal of a rectal foreign body helps to avoid iatrogenic injury [9]. In addition, gentle air insufflation performed during an endoscopy procedure can make it easier to move the object to the anal side by raising intraluminal pressure on the oral side of the foreign body, which may facilitate transanal removal.…”

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

“…On the other hand, such procedures can result in serious neurological complications. 3,8 This case had the advantage of minimizing rectal damage because the patient performed Valsalva maneuver voluntarily in a conscious state without anesthesia, and the procedure was conducted with endoscopic guidance.…”