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Rectal Foreign Body Removal in the Emergency Department: A Case Report.
Samuel Nesemann1, Kimberly A Hubbard2, Mehdi I Siddiqui2
1University of Texas Health San Antonio, Department of Emergency Medicine, San Antonio, Texas.
Rectal foreign bodies (RFBs) present a diagnostic challenge in emergency departments. This case highlights successful non-surgical extraction, emphasizing the need for physician preparedness in managing these difficult cases.
Area of Science:
- Emergency Medicine
- Gastroenterology
- Surgical Procedures
Background:
- Rectal foreign bodies (RFBs) are challenging presentations for emergency physicians.
- Patient reticence can delay diagnosis and intervention.
- Heightened clinical suspicion is crucial for timely management.
Purpose of the Study:
- To present a case of successful emergency department (ED) extraction of a rectal foreign body.
- To review the literature on managing RFBs.
- To underscore the importance of physician preparedness for RFB cases.
Main Methods:
- Case report of a patient presenting with a rectal foreign body.
- Literature review of existing studies and management strategies for RFBs.
- Description of the extraction technique used in the ED setting.
Main Results:
- Successful non-surgical extraction of the rectal foreign body was achieved in the ED.
- The case demonstrates the feasibility of in-department intervention.
- Literature review supports various extraction methods.
Conclusions:
- Retained RFBs are a significant cause of ED visits requiring specialized management.
- Emergency physicians must be proficient in diagnosing and treating RFBs.
- Appropriate management can prevent the need for surgical intervention.
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