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Adolescent Self-Inserted Rectal Foreign Body Removed Manually With Topical Anesthetic Only
Takuto Shimada1, Shigeki Tsuboi2
1Department of Surgery Ogaki Municipal Hospital Gifu Japan.
Clinical Case Reports
|April 22, 2026
Summary
Rectal foreign bodies in adolescents are uncommon. Selected asymptomatic cases can be safely managed with manual extraction under topical anesthesia, following thorough CT scans to rule out perforation.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Self-inserted rectal foreign bodies are rare in adolescents.
- Prompt diagnosis and management are crucial to prevent complications.
Purpose of the Study:
- To evaluate the safety and efficacy of manual extraction for adolescent rectal foreign bodies.
- To emphasize the importance of computed tomography (CT) in assessing for perforation.
Main Methods:
- Review of adolescent cases with rectal foreign bodies.
- Detailed CT scan assessment to identify foreign body location and rule out perforation.
- Manual extraction under topical anesthesia in cooperative, asymptomatic patients.
Main Results:
- Adolescent rectal foreign bodies are infrequent occurrences.
- CT scans are vital for excluding perforation before intervention.
- Manual extraction is a safe and effective method in selected cases.
Conclusions:
- Thorough CT evaluation is essential for adolescent rectal foreign bodies.
- Manual extraction under topical anesthesia is a viable option for asymptomatic patients.
- Careful patient selection and cooperation are key to successful manual extraction.
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