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The Management of Retained Rectal Foreign Body
Ju Hun Kim1, Eunhae Um1, Sung Min Jung1
1Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
Annals of Coloproctology
|February 15, 2020
Summary
Retained rectal foreign bodies (FB) are rare, often linked to sexual practices. Colorectal surgeons need awareness of retrieval methods and management guidelines for these challenging cases.
Area of Science:
- Colorectal Surgery
- Gastroenterology
- Trauma Surgery
Background:
- Anal foreign body (FB) insertion is a taboo, leading to delayed medical care.
- Lack of surgeon experience with rectal FB removal poses challenges.
Purpose of the Study:
- Evaluate clinical characteristics of Korean patients with retained rectal FB.
- Propose a management guideline for retained rectal FB based on clinical experience.
Main Methods:
- Retrospective review of 14 patients (2006-2018).
- Assessment of demographics, FB insertion mechanisms, clinical course, and outcomes.
- Surgical retrieval methods included transanal techniques and laparotomy.
Main Results:
- All 14 patients were male (mean age 43); 78.6% associated with sexual gratification.
- Presentations included abdominal pain, anal bleeding, or asymptomatic FB detection.
- Successful retrieval via transanal methods or laparotomy; no reported morbidity or mortality.
Conclusions:
- Retained rectal FB is rare but requires surgeon awareness.
- Various retrieval methods and a therapeutic algorithm are essential for management.
- Patients declined post-extraction evaluation and counseling.
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