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Colorectal foreign bodies.

D L Clarke1, I Buccimazza, F A Anderson

  • 1Department of General Surgery, Nelson R Mandela School of Medicine, University of Kwazulu Natal, Durban, South Africa.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
|December 21, 2004
PubMed
Summary
This summary is machine-generated.

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Colorectal foreign bodies require prompt diagnosis and management. Most cases necessitate referral to a colorectal surgeon for safe and effective extraction, as emergency room procedures are often unsuccessful.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Medical Imaging

Background:

  • Foreign bodies in the rectum are a rare but significant clinical challenge.
  • Diverse objects and motivations are associated with retained colorectal foreign bodies.

Purpose of the Study:

  • To review the presentation and management of colorectal foreign bodies.
  • To analyze extraction techniques and outcomes for rectal foreign bodies.

Main Methods:

  • Prospective database and photographic record of patients with colorectal foreign bodies since 1995.
  • Documentation of foreign body characteristics, clinical presentation, and extraction methods.

Main Results:

  • 13 male patients (age 2-66) presented with various foreign bodies.

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  • Reasons for insertion included autoeroticism, concealment, attention-seeking, accidental, assault, and constipation relief.
  • Plain radiographs identified foreign body location in 8 patients; extraction varied from transanal procedures to laparotomy.

    • Conclusions:

    • Emergency room physicians must confirm rectal foreign bodies.
    • Extraction in the emergency room is frequently unsuccessful.
    • Referral to a colorectal surgeon is recommended for patients with retained rectal foreign bodies.