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Foreign bodies in the rectum

M Yaman1, M Deitel, C J Burul

  • 1Department of Surgery, University of Toronto.

Canadian Journal of Surgery. Journal Canadien De Chirurgie
|April 1, 1993
PubMed
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Managing rectal foreign bodies requires prompt attention. While some objects can be removed in the emergency department, complex cases may need surgery to prevent serious complications.

Area of Science:

  • Gastroenterology
  • Emergency Medicine
  • Surgical Procedures

Background:

  • Rectal foreign bodies (RFBs) are uncommon but pose significant management challenges.
  • Patient presentation and object characteristics influence treatment strategies.

Purpose of the Study:

  • To review the management of 29 patients with rectal foreign bodies.
  • To identify factors influencing successful removal and potential complications.

Main Methods:

  • Emergency department interventions: rectal examination, proctoscopy, abdominal radiography.
  • Surgical interventions: anal dilatation, transrectal manipulation, mucosal release.
  • Assessment of complications: peritonitis, perianal sepsis.

Main Results:

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  • Successful emergency department removal for soft/low-lying objects.
  • Surgical intervention required for hard objects or trapped mucosa.
  • Complications included peritonitis (2 patients) and perianal sepsis (5 patients).
  • Mean hospital stay was 3 days; no deaths occurred.

Conclusions:

  • Rectal foreign bodies necessitate serious consideration and prompt, expeditious management.
  • Treatment approach should be tailored to object type and patient presentation.
  • Early intervention can mitigate severe complications such as peritonitis.