Removal of Rectal Foreign Bodies Using Tenaculum Forceps Under Endoscopic Assistance

Lim, Keun Joon; Kim, Joon Sung; Kim, Boo Gyoung; Park, Sung Min; Ji, Jeong‐Seon; Kim, Byung‐Wook; Choi, Hwang

doi:10.5217/ir.2015.13.4.355

Cited by 18 publications

(17 citation statements)

References 13 publications

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“…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.…”

Section: Discussionmentioning

confidence: 99%

Rectal Foreign Body of Eggplant Treated Successfully by Endoscopic Transanal Removal

Sei

Tomita

Nakai

et al. 2018

Case Rep Gastroenterol

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Transanal rectal foreign body implies that a foreign body has been inserted transanally due to sexual orientation or other reasons and cannot be removed. Such cases require emergency measures because foreign bodies often present difficulties in manual removal or endoscopic removal and may even require surgery when peritonitis due to gastrointestinal perforation occurs. We report a patient in our hospital who had a rectal foreign body inserted into the deep part of the proctosigmoid that could be removed endoscopically. A 66-year-old man visited our hospital because of an eggplant which had been inserted into his rectum by his friend and could not be removed. Since plain abdominal computed tomography showed a foreign body thought to be an eggplant in the proctosigmoid, the foreign body was captured and removed with a snare under lower gastrointestinal endoscope guidance.

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Section: Discussionmentioning

confidence: 99%

Rectal Foreign Body of Eggplant Treated Successfully by Endoscopic Transanal Removal

Sei

Tomita

Nakai

et al. 2018

Case Rep Gastroenterol

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“…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.…”

Section: Discussionmentioning

confidence: 99%

“…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.…”

Section: Discussionmentioning

confidence: 99%

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

Mikami

Ishimura

Oka

et al. 2016

Case Rep Gastroenterol

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We occasionally encounter patients with various types of rectal foreign bodies. When too large to grasp, transanal removal can be difficult. Here, we report a case of successful manual transanal removal of an 18 × 4 × 4 cm silicon rod without complications. A 50-year-old male came to the emergency department of our hospital 12 h after transanal insertion of a whole silicon rod. An abdominal examination showed no evidence of peritonitis, while X-ray and computed tomography findings revealed a large foreign body in the rectum, without any sign of perforation. Initially, we attempted removal using an endoscopy procedure with conventional endoscopic instruments, including a snare and grasp forceps, though we failed because of the large size. Next, we manually compressed the foreign body from the abdominal wall under endoscopic and X-ray fluoroscopic observation, and successfully removed it in a transanal manner without complications. Endoscopic and X-ray fluoroscopic assistance were helpful to guide the direction and angle of abdominal compression in this case.

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“…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.…”

Section: 2mentioning

confidence: 99%

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

Son

Park

Moon

et al. 2020

Korean J Gastroenterol

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Although not as common as foreign bodies in the upper gastrointestinal tract, rectal foreign body insertion is often encountered in emergency departments. The diverse types of rectal foreign bodies have led to various removal methods. When removing a foreign body, the first thing to consider is which method is the least invasive and safest for the patient. This paper reports the successful removal of a rectal foreign body from the rectum using the Valsalva maneuver without anesthesia in a patient.

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Removal of Rectal Foreign Bodies Using Tenaculum Forceps Under Endoscopic Assistance

Cited by 18 publications

References 13 publications

Rectal Foreign Body of Eggplant Treated Successfully by Endoscopic Transanal Removal

Rectal Foreign Body of Eggplant Treated Successfully by Endoscopic Transanal Removal

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

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

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