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[Foreign bodies of the rectum]
Vestnik Khirurgii Imeni I. I. Grekova
|July 13, 2000
Summary
Rectal foreign bodies, often large objects like bottles or phallic shapes, are commonly self-inserted for anal masturbation or inserted by others. Transcanal removal is effective for most cases, with surgery reserved for severe rectal injuries.
Area of Science:
- Colorectal Surgery
- Gastroenterology
- Emergency Medicine
Background:
- Foreign bodies in the rectum present a unique clinical challenge.
- Understanding the etiology and characteristics of these objects is crucial for effective management.
- This study analyzes a 22-year cohort of patients with rectal foreign bodies.
Observation:
- A total of 26 patients (23 male, 3 female), aged 18-71, presented with rectal foreign bodies.
- Common causes included anal masturbation (12 patients) and forced introduction (10 patients).
- Predominant objects were large plastic/glass bottles, vegetables (cucumbers, carrots), and phallic-shaped items, often exceeding 6 cm in diameter and 15 cm in length.
Findings:
- Large object size frequently led to complications and difficult removal.
- Diagnosis involved identifying symptoms and employing optimal diagnostic methods.
- A proposed classification aids in medico-tactical decision-making for rectal foreign bodies.
- Transcanal removal was successful in 23 patients, utilizing a standardized 10-proposition technique.
- Four patients with penetrating rectal injuries required open surgery, including repair and drainage.
Implications:
- The study highlights the efficacy of transcanal removal for the majority of rectal foreign bodies.
- A standardized approach and classification system can improve patient outcomes.
- Effective management strategies are essential to prevent complications and avoid mortality.