Use of Endoscopic Snare to Extract a Large Rectosigmoid Foreign Body With Review of Literature

Singaporewalla, Reyaz M; Tan, Daniel; Tan, Teng Kok

doi:10.1097/sle.0b013e318045bf1a

Cited by 41 publications

(59 citation statements)

References 12 publications

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“…Innovative techniques have been adopted by surgeons for FB retrieval in diffi cult situations which include using a Foley's catheter passed through a rigid sigmoidoscope [4], endoscopic snare [5], and vacuum extraction [6]. Recently laparoscopic assisted FB removal has been reported wherein the FB was removed transanally with laparoscopic assistance using one 10 mm and two 5 mm ports [7].…”

Section: Discussionmentioning

confidence: 99%

Severe intraperitoneal injuries due to self introduced rectal foreign body

Sandhu

Rao²

2008

Indian J Surg

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Rectal foreign body insertion is an increasingly common surgical dilemma that requires thorough history, physical examination, radiographs and inventiveness to treat. Additionally the surgeon should demonstrate a sympathetic and caring attitude. This case report highlights the successful surgical management of a rare and bizarre case of extensive intraperitoneal injuries due to a wire inserted by the patient to retrieve a rectal foreign body introduced for sexual gratifi cation. Keywords Rectal foreign bodies Case reportA 42-year-old male presented with the history of accidental introduction of a glass bottle per rectum when he allegedly slipped in the toilet and fell on a bottle lying on the ground the previous night. He also complained of severe lower abdominal pain. On general examination patient was uncomfortable and had temperature of 99.4°F, pulse rate of 110/min and blood pressure of 116/78 mm Hg. On local examination a wire was seen protruding from the anus (Fig. 1). The anal tone was lax. There was abdominal distension, generalized tenderness, guarding, rigidity and rebound tenderness signifying generalized peritonitis. These fi ndings were more marked in the lower abdomen. Systemic examination was normal. Hematological and biochemical parameters were normal except for polymorphonuclear leukocytosis. Plain abdominal radiograph showed an elongated foreign body presumably a bottle and a wire in the pelvis (Fig. 2).A very gentle attempt to dislodge the wire was unsuccessful. In view of generalized peritonitis and presence of rectal foreign bodies the patient was taken up for emergency surgery. Midline laparotomy was performed under general anesthesia. There was 500 ml of purulent/feculent material and blood in the peritoneal cavity and pelvis. A glass hair oil bottle (300 ml) was present in the rectum which was manipulated distally and delivered per anum. The wire which was in fact a straightened clothes hangar and hooked at its end had perforated the anterior wall of the intraperitoneal portion of the rectum and mesentery of the distal ileum. The hooked end of the wire was embedded in the mesentery of the ileum. The wire was straightened and removed per anum. Tears in the rectum and mesentery were repaired. Peritoneal toilet and diverting loop sigmoid colostomy was done. Appropriate parenteral antibiotics were administered.

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Section: Discussionmentioning

confidence: 99%

Severe intraperitoneal injuries due to self introduced rectal foreign body

Sandhu

Rao²

2008

Indian J Surg

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“…For identifying the complications after monitoring, patients should be kept under observation for at least 12-24 h (5). Endoscopy, catheter, or balloon can also be used for removing objects stuck at a stable position in the anorectum through the anal channel (10,11). In our study, foreign bodies were removed with anal dilatation in 2 patients in the emergency department.…”

Section: Discussionmentioning

confidence: 99%

Anorectal Foreign Bodies

Çalış¹,

Mescı²

2015

Erciyes Med J

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Objective: Presence of foreign bodies in the rectum is an important reason for emergency surgery. In this study, the implementations in diagnosis and treatments of patients who apply foreign bodies in the rectum and their social statuses are presented with literature. Materials and Methods:The cases diagnosed with a foreign body in the anus or rectum and treated in Akdeniz University Medical Faculty Hospital between the years 2000 and 2012 were retrospectively evaluated.Results: Ten patients were included in this study. The mean age of patients was determined as 51 (17-70) years. While nine patients stated that they implemented foreign bodies in the rectum with the purpose of eroticism, jejunostomy for nutritional support led to the obstruction in a female patient, with inoperable gastric carcinoma diagnosis, after it entered the rectum through the upper gastrointestinal system. Six of the nine male patients who implemented a foreign body in the rectum with the purpose of eroticism were living alone. The foreign bodies were removed through anal dilatation in two patients, rectosigmoidoscopy in five patients, laparotomy in three patients (Stripping, colostomy, and Hartman colostomy procedure).Conclusion: It can be considered that middle-aged males living alone tended to these perform actions because 60% of the cases in our study were living alone. Further studies are required for this hypothesis.

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“…Singaporewalla ve ark. 1 2007 y›l›ndaki çal›flmalar›nda bu yöntemin yüksek yerleflimli yabanc› cisimlerde ilk denenecek metot olmas› gerekti¤i sonucuna varm›fllard›r. Yine ayn› çal›flmada ç›karma denemelerinde cisim daha proksimale kaçt›¤›nda ifllemin b›rak›lmas› ve daha tecrübeli ellerden yard›m al›nmas› sal›k verilmektedir.…”

Section: Resim 3 Rektal Yabanc› Cisimunclassified

“…Ancak rektum ya da kolonda perforasyon olan olgularda peritonite ba¤l› fliddetli kar›n a¤r›s› hatta gecikmifl vakalarda septik tablo ile karfl›m›za ç›kabilirler. 1,3 Rektumda yabanc› cisim olan hasta ile karfl›lafl›ld›¤›nda hastan›n genel ve psikoseksüel durumu de¤erlendirildikten sonra dikkatli kar›n muayenesi ile peritoneal irritasyon bulgular› olup olmad›¤› araflt›r›lmal›d›r. Peritonit varl›¤›nda olas› perforasyona sekonder serbest peritoneal havan›n varl›¤› düz grafilerde aranmal›d›r.…”

Section: Resim 3 Rektal Yabanc› Cisimunclassified

“…Ciltte herhangi bulgu olmamas›, psikoseksüel muayene bulgular› da destekliyorsa yabanc› cismin seksüel amaçla kullan›ma ba¤l› olmas› hakk›nda bilgi verebilir. 1 Rektumda yabanc› cisim saptand›¤›nda yap›lacak giriflim yatak bafl›nda yap›lacak basit ç›kar›lmadan laparatomiye kadar uzanan bir spektrumda olabilir. Giriflimin flekli hastada peritonit varl›¤›, yabanc› cismin rektumdaki seviyesi ve baflvurulan birimin olanaklar› düflünülerek belirlenmelidir.…”

Section: Resim 3 Rektal Yabanc› Cisimunclassified

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Rectosimoid foreign body

Balta¹,

Yücel²,

Karakaş³

et al. 2011

Kolon Rektum Hast Derg

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ÖZETRektumda yabanc› cisimler genel cerrahlar›n meslek hayatlar› boyunca s›k olmasa da karfl›laflabilecekleri klinik bir durumdur. S›kl›kla homoseksüel yaklafl›mlar veya oto-erotik eylemler sonucunda meydana gelirler. Rektumda yabanc› cisim tan›s› konan hastalarda öncelikle perforasyon varl›¤› araflt›r›lmal›d›r. Perforasyon olan hastalar›n tedavisinde operatif tedavi yöntemleri ön planda iken perforasyon olmayan hastalar›n tedavisinde yatak bafl› nonoperatif ifllemlerden laparatomiye kadar varan birçok tedavi seçene¤i mevcuttur. Anahtar Kelimeler: Rektum, Yabanc› cisim, Perforasyon, EndoskopiABSTRACT Presence of foreign bodies in the rectum is not an uncommon condition for general surgeons during their careers. This clinical condition generally occurs due to homosexual habits and autoerotic actions. When foreign body is diagnosed in the rectum, probability of a perforation should be evaluated first. While operative management is forefront in the patients with perforation, there are various treatment modalities from bedside nonoperative procedures to laparotomy for the patients without perforation. In this case, the presentation of nonoperative management of a patient with a rectal foreign body in the operating room under general anesthesia is aimed.

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Use of Endoscopic Snare to Extract a Large Rectosigmoid Foreign Body With Review of Literature

Cited by 41 publications

References 12 publications

Severe intraperitoneal injuries due to self introduced rectal foreign body

Severe intraperitoneal injuries due to self introduced rectal foreign body

Anorectal Foreign Bodies

Rectosimoid foreign body

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