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Cancer-like foreign-body in rectum wall: A case report
1Nian-Song Kang, Zhejiang Chinese Medical University, Hangzhou 310053, Zhejiang Province, China.
World Journal of Gastrointestinal Surgery
|December 17, 2010
Summary
Rectal foreign bodies, often from sexual practices or accidental ingestion, can cause acute issues or chronic inflammation. These objects may also accelerate tumor development and lead to misdiagnosis, necessitating accurate diagnostic methods.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Pathology
Background:
- Rectal foreign bodies are typically linked to aberrant sexual practices or accidental ingestion of small fragments like fishbones.
- While often presenting acutely, chronic rectal foreign bodies can trigger inflammatory responses and stromal proliferation.
- These chronic foreign bodies may potentially accelerate tumor development via mechanisms such as reactive oxygen species.
Purpose of the Study:
- To highlight the potential complications and misdiagnosis associated with foreign bodies in the rectal wall.
- To emphasize the role of diagnostic procedures in identifying rectal foreign bodies.
- To discuss the impact of chronic foreign bodies on rectal tissue and potential tumor development.
Main Methods:
- Review of clinical presentations and histories of patients with rectal foreign bodies.
- Analysis of diagnostic techniques, including colonoscopy and biopsy pathology.
- Discussion of the pathological changes induced by chronic foreign bodies in the rectal wall.
Main Results:
- Foreign bodies in the rectum wall can lead to significant complications and diagnostic challenges.
- Chronic presence of foreign bodies can induce inflammatory reactions and stromal proliferation.
- Potential acceleration of tumor occurrence and deterioration by foreign bodies through reactive oxygen species has been noted.
Conclusions:
- Accurate diagnosis of rectal foreign bodies is crucial to prevent complications and misdiagnosis.
- Colonoscopy and biopsy pathology are highly reliable methods for diagnosing rectal foreign bodies.
- Understanding the long-term effects of rectal foreign bodies, including potential oncogenic roles, is important for patient management.
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