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[Retained rectal foreign bodies by trans-anal introduction. Case report]
L G Angiò1, A Bonsignore, T Centorrino
1Scuola di Specializzazione in Chirugia Generale I, Università degli Studi di Messina.
Il Giornale Di Chirurgia
|December 4, 2009
Summary
Retained rectal foreign bodies, often introduced for eroticism, pose serious risks. Non-surgical removal is preferred, but surgical intervention may be necessary for severe cases and complications.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Emergency Medicine
Background:
- Rectal foreign bodies (RFBs) are uncommon but present significant clinical challenges.
- Etiologies range from accidental insertion to intentional self-insertion, often linked to sexual practices or psychiatric conditions.
Observation:
- This report details two cases of retained RFBs introduced via trans-anal means, including a deodorant aerosol-can cap and a phallic object.
- The cases highlight the diverse range of objects and motivations behind RFB insertion, including anal eroticism.
Findings:
- Non-surgical extraction is the preferred treatment modality for RFBs due to the negative prognostic implications associated with surgical intervention.
- However, surgical treatment may be unavoidable in cases of complex impaction, perforation, or when non-surgical methods fail.
Implications:
- Prompt diagnosis and management are crucial to prevent complications such as rectal perforation, sepsis, and long-term sequelae.
- Understanding the varied etiologies and patient motivations is essential for effective treatment planning and patient counseling.
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