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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Assessing Body Temperature - Rectal01:27

Assessing Body Temperature - Rectal

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Rectal temperature measurement is considered the most precise method for assessing core body temperature and typically registers higher than oral temperature. For adults, the rectal thermometer should be inserted 1 to 1.5 inches into the rectum to obtain the most accurate reading.
Follow these steps for rectal temperature assessment:
Step 1: Perform hand hygiene and don clean gloves to prevent cross-infection.
Step 2: Position the patient in a side-lying position to better visualize the rectal...
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Related Experiment Video

Updated: Dec 25, 2025

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Foreign rectal body - Systematic review and meta-analysis.

M Ploner1, A Gardetto2, F Ploner3

  • 1Department of Anesthesiology and Intensiver Care, Cantonal Spital Lucerne, Lucerne, Switzerland.

Acta Gastro-Enterologica Belgica
|April 2, 2020
PubMed
Summary

Foreign rectal bodies are rare but challenging. Most insertions are for sexual stimulation, primarily by young males, with sexual devices being common. Treatment requires careful diagnosis and individualized extraction methods.

Keywords:
acute abdominal paindiagnosisextractionforeign bodyrectumsurgical treatment

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Medical Case Studies

Background:

  • Self-inserted foreign rectal bodies present significant surgical challenges due to object diversity and extraction difficulty.
  • Understanding the epidemiology, diagnostics, and therapeutic approaches is crucial for managing these rare cases.

Purpose of the Study:

  • To conduct a comprehensive literature review on the epidemiology, diagnostic tools, and therapeutic strategies for foreign rectal body insertion.
  • To synthesize current knowledge and establish best practices for managing patients with rectal foreign bodies.

Main Methods:

  • A systematic literature review was performed using PubMed/Medline and Google databases for "foreign bodies" up to January 14th, 2018.
  • A meta-analysis evaluated epidemiological data, diagnostic techniques, and therapeutic interventions from 54 selected articles out of 1,551 initially identified abstracts.

Main Results:

  • The primary motivation for rectal foreign body insertion is sexual stimulation, with patients typically being young males (6:1 male to female ratio).
  • Sexual devices (35.7%) and glass objects (17.5%) are the most frequently encountered items.
  • Complications occurred in 30.4% of cases, with removal often requiring general anesthesia (45.2%) or sedation (29.0%).

Conclusions:

  • Diagnostic procedures must prioritize ruling out perforation and guiding treatment algorithms.
  • Manual transanal extraction, potentially with abdominal compression, under anesthesia or sedation, is a viable approach.
  • Individualized treatment is essential due to the wide variety of foreign bodies, often requiring surgical creativity.