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Retained rectal foreign bodies.
Wen-Chieh Huang1, Jeng-Kae Jiang, Huann-Sheng Wang
1Division of Colorectal Surgery, Department of Surgery, Taipei Veterans General Hospital, National Yang-Ming University, School of Medicine, Taipei, Taiwan, ROC.
Journal of the Chinese Medical Association : JCMA
|January 2, 2004
Summary
Retained rectal foreign bodies, often due to anal eroticism, are increasingly managed. Most cases can be treated non-surgically, reserving surgery for severe complications like peritonitis.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Emergency Medicine
Background:
- Retained rectal foreign bodies present a management challenge, with limited data from Western case reports.
- This study reviews institutional experiences with retained rectal foreign bodies.
Purpose of the Study:
- To analyze clinical features, management strategies, and outcomes of retained rectal foreign bodies.
- To evaluate the efficacy of different extraction methods.
Main Methods:
- Retrospective review of data from January 1979 to January 2000.
- Analysis of clinical features, treatment, and outcomes for 12 presentations in 10 male patients.
Main Results:
- Common foreign bodies included glass bottles and vibrators; 50% of insertions were for anal eroticism.
- Non-surgical extraction via anoscope, sigmoidoscope, or colonoscope was successful in most cases.
- Two patients required emergent laparotomy for peritonitis/sepsis; minor complications occurred in 62.5% of non-surgically treated cases.
Conclusions:
- Retained rectal foreign bodies exhibit diverse clinical presentations.
- Transanal extraction under anesthesia is effective for uncomplicated cases; colonoscopic extraction is an alternative.
- Surgery is indicated for patients with peritonitis or pelvic sepsis.