Rectal Foreign Body: A Case Report

Nepal, Anamika; Maharjan, Shailesh; Chalise, Anup; Rajbhandari, Ashish Prasad

doi:10.31729/jnma.7905

Cited by 4 publications

(4 citation statements)

References 11 publications

(20 reference statements)

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“…Often, patients will attempt to remove the foreign body manually and fail many times before they begin to attempt to seek treatment, which results in the foreign body often appearing in a location other than its initial location. For migration of the foreign body, it can migrate to neighboring organs, causing obstruction of the cecum, appendicitis, ileocecal valve and anus, while degraded material can cause toxicity and even intestinal perforation leading to sepsis and death [10]. For the removal of foreign bodies, the choice of the appropriate method is the most di cult.…”

Section: Discussionmentioning

confidence: 99%

Colonoscopy-assisted removal of foreign body impaction at the rectosigmoid junction: a case and review of the literature

Pengfei,

Jiadong,

Jigen

et al. 2023

Preprint

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Introduction Rectal foreign body embedded in the clinic is not common, patients due to a variety of reasons caused by different objects and appliances embedded in the rectum cannot be removed, although the clinical foreign body caused by perforation is relatively rare, but once such a symptom occurs, it will also pose a threat to the patient's life. This case show that we should accurately assess the patient's condition once a foreign body is embedded in the rectum, and select a timely and effective treatment plan to remove the foreign body. Method We analyzed the literature on the clinical signs and possible conditions in such cases and discussed the timeliness and rationality of the surgical and therapeutic options for this patient. Results The patient was a 54-year-old male who was hospitalized in our outpatient clinic on June 03, 2022 for a rectal foreign body that had been embedded for more than 1 day. The patient told us that he had used a glass electrode tube to assist in removing the foreign body one day earlier due to "prolapse of the anus", but the electrode tube was inadvertently inserted into the anus and could not be removed on his own. After completing the pre-surgical examination, the foreign body was dragged into the rectum with the assistance of colonoscopy, and the anus was dilated with comb-type pulling hook and anal fistula pulling hook to widen the anus and remove the foreign body, and then relieved the local symptoms of the anus with the Chinese medicine Gu's Surgical Therapy. Discussion Rectal foreign body implantation, although rare in clinical practice, should be treated in a multidisciplinary manner, considering the type of foreign body, its material, and the possible risks involved.

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Section: Discussionmentioning

confidence: 99%

Colonoscopy-assisted removal of foreign body impaction at the rectosigmoid junction: a case and review of the literature

Pengfei,

Jiadong,

Jigen

et al. 2023

Preprint

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“…Some patients may need more advanced approaches if bedside manual removal is unsuccessful. Assessment of the shape, size, nature, and location of the object through appropriate imaging is necessary" [5]. "At times manual extraction may be successful in the operation suite due to deeper sedation levels and relaxation of the sphincter.…”

Section: Introductionmentioning

confidence: 99%

“…Objects in the distal sigmoid colon may be removed with a flexible sigmoidoscope where the polypectomy snares can be wrapped around the object and air can be insufflated to break the seal. Another advantage of sigmoidoscopy is that the mucosa can be easily evaluated for injury after removal" [5].…”

Section: Introductionmentioning

confidence: 99%

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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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