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Colorectal foreign bodies and perforation

R A Crass, R F Tranbaugh, K A Kudsk

    American Journal of Surgery
    |July 1, 1981
    PubMed
    Summary

    Most rectal foreign bodies are safely removed in the emergency room, but some require surgery. Applying general colorectal injury management principles aids in treating foreign body perforations effectively.

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    Area of Science:

    • Colorectal Surgery
    • Gastroenterology
    • Emergency Medicine

    Background:

    • Rectal foreign bodies, while historically a curiosity, are increasingly common.
    • Non-medical rectal instrumentation is a frequent cause of these injuries.
    • Both metropolitan and community hospitals are experiencing a rise in these cases.

    Purpose of the Study:

    • To review the management principles for rectal foreign bodies.
    • To highlight the increasing incidence of these injuries.
    • To emphasize the importance of applying general colorectal injury protocols.

    Main Methods:

    • Review of existing literature on rectal foreign body management.
    • Application of established principles for colorectal trauma.
    • Surgical and non-surgical treatment strategies.

    Main Results:

    • Most cases of rectal foreign bodies can be managed non-operatively.
    • A subset of patients with perforations require operative intervention.
    • Successful outcomes are achievable with appropriate management.

    Conclusions:

    • Effective management of rectal foreign bodies relies on established colorectal injury principles.
    • The increasing frequency necessitates awareness and preparedness in healthcare settings.
    • Prompt diagnosis and tailored treatment are crucial for optimal patient outcomes.

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