International Journal of Medical and Dental Sciences

Open Access Open Access  Restricted Access Subscription Access

Rectal Foreign Bodies:A Retrospective Study


Affiliations
1 Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
 

Background: Reported incidence of rectal foreign bodies is rather rare with only isolated published case reports or case series. Controlled studies of patients with rectal foreign bodies have not been conducted. The approach to the management of these patients has not changed in the last 10-20 years.

Objective: The aim of this study was to describe 16 cases of colorectal foreign bodies introduced during sexual activity, gathered by the authors from 2002 to 2016, and to establish an epidemiological and therapeutic pattern.

Material and methods: This was a retrospective study that involved retrieval of folders belonging to patients who were treated for foreign body of rectum. The patients demographic data along with type of object (Foreign body), time of presentation and type of treatment required were recorded from the case folders.

Results: All the 16 patients in our series were male with a mean age of 42 years. Household bottles (37.8%) were the most common foreign body while a majority of patients presented between 24 to 48 hrs. Laparotomy was done in 8 cases (50%) out of which in 7 cases transanal extraction was done by milking while in 1 case colostomy was done. Manual extraction was successful in 25% while forceps were helpful in another 25%.

Conclusions: The incidence of rectal foreign bodies is disproportionately higher in men. Manual extraction with or without the help of obstetric forceps appears to be the treatment modality of choice. The appropriate technique will depend on the size and surface of the retained object and the presence of complications.


Keywords

Foreign Body, Rectal Trauma, Sexual Perversions, Rectum, Colorectal.
User
Notifications
Font Size


  • Goldberg JE, Steele SR. Rectal foreign bodies. Surg Clin N Am 2010;90:173–84.

  • Kurer MA, Davey C, Khan S, Chintapatla S. Colorectal foreign bodies: a systematic review. Colorectal Dis 2010;12(9):851–61.

  • Yaman M, Dietel M, Burul CJ, Hadar B. Foreign bodies in the rectum. Can J Surg 1993;36:173–7.

  • Gaponov VV. Foreign bodies in the rectum and colon (Russian) Klinicheskaia Khirugiia 1992;2:37–40.

  • Lake JP, Essani R, Petrone P, Kaiser AM, Asensio J, Beart RW Jr. Management of retained colorectal foreign bodies: predictors of operative intervention. Dis Colon Rectum 2004;47:1694–8.

  • Akhtar MA, Arora PK. Case of Unusual Foreign Body in the Rectum. Saudi J Gastroenterol 2009 Apr;15(2):131–2.

  • Cologne KG, Ault GT, Rectal Foreign Bodies: What Is the Current Standard? Clin Colon Rectal Surg 2012 Dec;25(4):214–8.

  • Biriukov IuV, Volkov OV, An VK, Elu B, Dodina AN. Treatment of patients with foreign body rectum. Khirurgiia (Mosk) 2000;7:41–3.

  • Subbotin VM, Davidov MI, Abdrashitov RR, Rylov IuL, Sholin NV. Foreign bodies in rectum. Vestn Khir Im I I Grek 2000;159:91–5.

  • Kasotakis G, Roediger L, Mittal S. Rectal foreign bodies: A case report and review of the literature. Int J Surg Case Rep 2012;3(3): 111–5.

  • Kouraklis G, Miaiakos E, Dovas N, Karatzas G, Gogas J. Management of foreign bodies of the rectum: Report of 21 cases. JR Coll Edin 1997;42:246–7.


Abstract Views: 244

PDF Views: 125




  • Rectal Foreign Bodies:A Retrospective Study

Abstract Views: 244  |  PDF Views: 125

Authors

Nishith M. Paul Ekka
Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
Shital Malua
Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India
Pankaj Bodra
Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India

Abstract


Background: Reported incidence of rectal foreign bodies is rather rare with only isolated published case reports or case series. Controlled studies of patients with rectal foreign bodies have not been conducted. The approach to the management of these patients has not changed in the last 10-20 years.

Objective: The aim of this study was to describe 16 cases of colorectal foreign bodies introduced during sexual activity, gathered by the authors from 2002 to 2016, and to establish an epidemiological and therapeutic pattern.

Material and methods: This was a retrospective study that involved retrieval of folders belonging to patients who were treated for foreign body of rectum. The patients demographic data along with type of object (Foreign body), time of presentation and type of treatment required were recorded from the case folders.

Results: All the 16 patients in our series were male with a mean age of 42 years. Household bottles (37.8%) were the most common foreign body while a majority of patients presented between 24 to 48 hrs. Laparotomy was done in 8 cases (50%) out of which in 7 cases transanal extraction was done by milking while in 1 case colostomy was done. Manual extraction was successful in 25% while forceps were helpful in another 25%.

Conclusions: The incidence of rectal foreign bodies is disproportionately higher in men. Manual extraction with or without the help of obstetric forceps appears to be the treatment modality of choice. The appropriate technique will depend on the size and surface of the retained object and the presence of complications.


Keywords


Foreign Body, Rectal Trauma, Sexual Perversions, Rectum, Colorectal.

References





DOI: https://doi.org/10.18311/ijmds%2F2017%2F125553