scholarly journals Anorectal Injuries due to Foreign Bodies: Case Reports and Review of the Management Options

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Faruk Karateke ◽  
Koray Das ◽  
Sefa Ozyazici ◽  
Ebru Menekse ◽  
Zikret Koseoglu ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Foreign Bodies ◽  
Case Reports ◽  
Fecal Diversion ◽  
Lithotomy Position ◽  
Anal Dilatation ◽  
Management Options ◽  
Rectal Perforation ◽  
Rectal Foreign Bodies ◽  
Male Patients

Anorectal injuries due to autoerotic activity with rectal foreign bodies were identified in four male patients. The objects were bottle in one patient, glasses in two patients, and showerhead in one patient. Foreign bodies were extracted within lithotomy position after anal dilatation, under general anesthesia in 3 patients. One patient presented with peritoneal irritation and had a diagnosis of rectal perforation. He underwent transanal rectal repair with proximal fecal diversion. In this paper we described 4 patients who had anorectal injuries due to autoerotic activity with foreign bodies and reviewed the management options in literature.

scholarly journals Rectal perforation caused by a self-inserted foreign body: a case report

2021 ◽  
Vol 8 (9) ◽  
pp. 2803
Author(s):  
R. Sanjay ◽  
Rajendra Bargee ◽  
Pradeep Panwar ◽  
Prashant Kumar
Keyword(s):  
Severe Pain ◽  
Foreign Bodies ◽  
Cell Phones ◽  
Lower Abdomen ◽  
Rectal Perforation ◽  
Rectal Foreign Bodies ◽  
Seeking Behavior ◽  
History Of ◽  
Sex Toys ◽  
High Index Of Suspicion

Rectal foreign bodies have a storied history as a part of anorectal trauma. Objects encountered are most commonly household objects consisting of bottles and glasses. Other objects include tooth brushes, deodorant bottles, food articles, knives, sports equipment, cell phones, flash lights, wooden rods, broom sticks, sex toys including dildos and vibrators, light bulbs, nails, or other construction tools, christmas ornaments, aerosol canisters, cocaine packets, and many more. The reasons for insertion in decreasing order of frequency are autoeroticism, concealment, attention-seeking behavior, accidental, assault and to alleviate constipation. Here we presented a case of 32 years old presented to the ER with complaints of pain in lower abdomen and anal region for 12 hours. He complained of severe pain when he tried to defecate. He gave history of self-insertion of an empty drug vial into his rectum. Rectal foreign bodies represent a challenging and unique field of colorectal trauma. The important factors in dealing with these patients are careful history and physical examination. Patients are often embarrassed about this condition and may conceal the truth. So, a high index of suspicion is required to accurately diagnose.

scholarly journals Rectal Foreign Bodies:A Retrospective Study

2017 ◽  
Vol 6 (1) ◽  
pp. 1367
Author(s):  
Nishith M. Paul Ekka ◽  
Shital Malua ◽  
Pankaj Bodra
Keyword(s):  
Retrospective Study ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Case Reports ◽  
Demographic Data ◽  
Case Series ◽  
Rectal Foreign Bodies ◽  
Obstetric Forceps ◽  
Transanal Extraction ◽  
Manual Extraction

<p><strong>Background</strong>: 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.</p><p><strong>Objective</strong>: 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.</p><p><strong>Material and methods</strong>: 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.</p><p><strong>Results</strong>: 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%.</p><p><strong>Conclusions</strong>: 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.</p>

scholarly journals Rectal Foreign Bodies: Five Case Reports

2016 ◽  
Vol 26 (3) ◽  
pp. 98-100
Author(s):  
Eyüp Murat Yılmaz ◽  
Erdem Barış Cartı
Keyword(s):  
Foreign Bodies ◽  
Case Reports ◽  
Rectal Foreign Bodies

Removal of a Large Spherical Foreign Object from the Rectum Using an Obstetric Vacuum Device: A Case Report

2007 ◽  
Vol 73 (3) ◽  
pp. 304-306 ◽  
Author(s):  
Suzanne Feigelson ◽  
Dipen Maun ◽  
Daniel Silverberg ◽  
Tehillah Menes
Keyword(s):  
Case Report ◽  
Foreign Bodies ◽  
Medical Center ◽  
Foreign Object ◽  
Management Options ◽  
Nonsurgical Management ◽  
Vacuum Device ◽  
Rectal Foreign Bodies ◽  
Major Medical Center ◽  
Large Spherical

Reports of retained rectal foreign bodies are increasingly common worldwide. It is likely that any surgeon practicing at a major medical center will encounter this type of case, and thus, should be familiar with both surgical and nonsurgical management options. The diagnosis is usually easy to confirm with a thorough history and physical exam and plain abdominal films. Low-lying objects can usually be extracted in the emergency room transanally, whereas high-lying foreign bodies may require anesthesia and laparotomy. We report an experience using an obstetric vacuum device to extract a high-lying foreign body from the rectum.

scholarly journals Postoperative Urinary Retention Following General Anesthesia for Endoscopic Nasal Surgery in Men Aged Older Than 60 Years: A Retrospective Study

2021 ◽  
pp. 014556132110331
Author(s):  
Yong Won Lee ◽  
Bum Sik Kim ◽  
Jihyun Chung
Keyword(s):  
General Anesthesia ◽  
Incidence Rate ◽  
Urinary Retention ◽  
Nasal Surgery ◽  
Prostate Hyperplasia ◽  
Postoperative Urinary Retention ◽  
Asa Classification ◽  
History Of ◽  
Male Patients ◽  
Endoscopic Nasal Surgery

Objectives: Postoperative urinary retention (POUR) is influenced by many factors, and its reported incidence rate varies widely. This study aimed to investigate the occurrence and risk factors for urinary retention following general anesthesia for endoscopic nasal surgery in male patients aged >60 years. Methods: A retrospective review of medical records between January 2015 and December 2019 identified 253 patients for inclusion in our study. Age, body mass index (BMI), a history of diabetes/hypertension, American Society of Anesthesiologists (ASA) classification, and urologic history were included as patient-related factors. Urologic history was subdivided into 3 groups according to history of benign prostate hyperplasia (BPH)/lower urinary tract symptoms (LUTS) and current medication. The following was analyzed as perioperative variables for POUR development: duration of anesthesia and surgery; amount of fluid administered; rate of fluid administration; intraoperative requirement for fentanyl, ephedrine, and dexamethasone; postoperative pain; and analgesic use. Preoperatively measured prostate size and uroflowmetry parameters of patients on medication for symptoms were compared according to the incidence of urinary retention. Results: Thirty-seven (15.7%) patients developed POUR. Age (71.4 vs 69.6 years), BMI (23.9 vs 24.9 kg/m2), a history of diabetes/hypertension, ASA classification, and perioperative variables were not significantly different between patients with and without POUR. Only urologic history was identified as a factor affecting the occurrence of POUR ( P = .03). The incidence rate among patients without urologic issues was 5.9%, whereas that among patients with BPH/LUTS history was 19.8%. Among patients taking medication for symptoms, the maximal and average velocity of urine flow were significantly lower in patients with POUR. Conclusions: General anesthesia for endoscopic nasal surgery may be a potent trigger for urinary retention in male patients aged >60 years. The patient’s urological history and urinary conditions appear to affect the occurrence of POUR.

Deodorant aerosol spray can in the rectum: a potential fire hazard during surgery

2021 ◽  
Vol 14 (5) ◽  
pp. e241538
Author(s):  
Sivaraman Kumarasamy ◽  
Lileswar Kaman ◽  
Azhar Ansari ◽  
Amarjyoti Hazarika
Keyword(s):  
Foreign Body ◽  
Surgical Procedures ◽  
Foreign Bodies ◽  
Fire Hazard ◽  
Psychiatric Patients ◽  
Young Male ◽  
Energy Devices ◽  
Aerosol Spray ◽  
Rectal Foreign Bodies ◽  
Fire And Explosion

Rectal foreign bodies are not uncommon and often pose a serious challenge to surgeons. In majority, the objects are inserted by self in children, psychiatric patients and for sexual gratification in adults. Various rectal foreign bodies have been reported. Deodorant aerosol spray can in the rectum has not been reported previously. Danger of aerosol dispenser can is the risk of fire and explosion. Especially during any surgical procedures to remove the foreign body using cautery or any energy devices. We report of a rare foreign body of deodorant aerosol spray can in the rectum in a young male patient, which was removed under general anaesthesia.

Novel Approach to Removal of Rectal Foreign Bodies

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sitaram Chilakamarry ◽  
Adam A Klipfel
Keyword(s):  
Foreign Bodies ◽  
Novel Approach ◽  
Rectal Foreign Bodies

scholarly journals Rectal Perforation and Fistulae Secondary to a Glycerin Enema, Treated with Conservative Therapy—Two Case Reports—

2017 ◽  
Vol 78 (5) ◽  
pp. 1041-1049 ◽  
Author(s):  
Takaomi OKAWA ◽  
Toshiya FURUTA ◽  
Taiichiro KANAGAWA ◽  
Takuji KOBATAKE ◽  
Hiromi NOGAMI
Keyword(s):  
Conservative Therapy ◽  
Case Reports ◽  
Rectal Perforation

scholarly journals Occult Foreign Body Aspirations in Pediatric Patients: 20-years of Experience

2020 ◽  
Author(s):  
Bo Liu ◽  
Fengxia Ding ◽  
Yong An ◽  
Yonggang Li ◽  
Zhengxia Pan ◽  
...  
Keyword(s):  
Foreign Body ◽  
Medical Records ◽  
Foreign Bodies ◽  
Pediatric Patients ◽  
Previous History ◽  
Rigid Bronchoscopy ◽  
Diagnostic Difficulties ◽  
History Of ◽  
Male Patients ◽  
Symptoms And Signs

Abstract Background: The purpose of our study was to assess the frequency of occult foreign body aspiration (FBA) and to evaluate the diagnostic difficulties and therapeutic methods for these patients. Methods: Between May 2000 and May 2020, 3557 patients with the diagnosis of FBA were treated in our department. Thirty-five patients with occult FBA were included in this study. A retrospective analysis of medical records was performed. Results: Twenty-three male patients (65.7%) and 12 female patients (34.3%) were hospitalized due to occult FBA. The average age was 3.60 years (range 9 months-12 years). Most of the patients were younger than 3 years old (n=25, 71.4%). Coughing (n=35, 100%) and wheezing (n=18, 51.4%) were the main symptoms and signs. All the patients were found to have a FBA under the fiberoptic bronchoscope. The most common organic foreign bodies were peanuts (n=10) and the most common inorganic foreign bodies were pen caps (n=5). The extraction of foreign bodies under rigid bronchoscopy was applied successfully in 34 patients. Only one patient needed a surgical intervention. Conclusions: Occult FBA should always be considered in the differential diagnosis of chronic or recurrent respiratory diseases that are poorly explained, even in the absence of a previous history of aspiration.

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