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 To casuistry foreign bodies of the female urinary bladder

2020 ◽  
Vol 5 (1) ◽  
pp. 30-33
Author(s):  
I. Tyshko
Keyword(s):  
Urinary Incontinence ◽  
Urinary Bladder ◽  
Severe Pain ◽  
Foreign Bodies ◽  
Lower Abdomen ◽  
Lower Back ◽  
External Genital Organs

Alexandra Ermolaeva, a peasant woman from the Smolensk district, Spasskaya volost, 22 years old, was admitted to the Smolensk Provincial Zemsky Hospital on February 2, 1890, complaining of complete urinary incontinence, severe pain in the lower abdomen, in the lower back, and external genital organs, constipation and pain.

Foreign Body Nose: An Unusual Presentation

2021 ◽  
Vol 28 (3) ◽  
pp. 282-284
Author(s):  
Ankit Gulati ◽  
Surinder K Singhal ◽  
Shashikant A Pol ◽  
Nitin Gupta
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Alar Cartilage ◽  
Open Approach ◽  
Medial Canthus ◽  
History Of ◽  
Foreign Body Impaction ◽  
Nasal Bleed ◽  
High Index Of Suspicion

Introduction This is a very interesting case of retained homicidal foreign body in the nose in contrast to most of the foreign bodies which are accidental. Case Report A 27 year old male presented to ENT emergency with alleged history of assault over face with sharp object following which patient developed nasal bleed. On examination vertical laceration of approximately 8 cm in length was present along left naso-orbital groove extending superiorly from medial canthus of left eye and inferiorly to nasal alar cartilage. On anterior rhinoscopy a metallic foreign body was seen in both nasal cavities, which appeared to be crossing from left to right side piercing the nasal septum. Foreign body was removed via open approach. Discussion Penetrating maxillofacial injury with foreign body impaction are less common. High index of suspicion is required in diagnosing these cases. Radiological intervention should be done to get idea of exact location and extent of foreign body. Lateral rhinotomy is a useful approach in removing these foreign bodies.

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 Unusual presentation of a rectal foreign body: a diagnostic dilemma

2019 ◽  
Vol 6 (7) ◽  
pp. 2587
Author(s):  
Pei Pei Lee ◽  
Jitt Aun Chuah ◽  
Ratha Krishnan Sriram
Keyword(s):  
Foreign Body ◽  
Acute Urinary Retention ◽  
Foreign Bodies ◽  
Correct Diagnosis ◽  
Medical Attention ◽  
Pelvic Cavity ◽  
Diagnostic Dilemma ◽  
Rectal Foreign Bodies ◽  
History Of ◽  
Abdominal Perineal Resection

Rectal foreign bodies present a challenge to surgeons from obtaining the correct diagnosis to managing the patient due to a wide array of presentation. Diagnostic dilemmas often arise as patients are sometimes unwilling to disclose the actual history and seek medical attention late. We present a case of a 65 year old Asian gentleman who present with history of per-rectal bleeding, tenesmus, acute urinary retention, constitutional symptoms with investigations suggestive of rectal malignancy. Intraoperatively identified a rubber-like foreign body tightly packed in the pelvic-cavity with severe injury to the rectum requiring abdominal-perineal resection. 

scholarly journals Male Sexual Assault – A Case Report of Foreign Body in the Rectum from Sexual Assault by Female Partner

2020 ◽  
pp. 186
Author(s):  
Keyword(s):  
Sexual Assault ◽  
Foreign Bodies ◽  
Lower Abdominal Pain ◽  
Exploratory Laparotomy ◽  
Female Partner ◽  
Male Sexual Assault ◽  
Rectal Foreign Bodies ◽  
Depth Study ◽  
History Of

Most rectal foreign bodies (FB) are a result of insertion for sexual gratification. FB in the rectum as. result of sexual assault in males by the female partner is rare. A 32-year-ol man presented with a 6-day history of deep anal pain and lower abdominal pain, following an assault by a female partner while he was drunk. Physical examination and plain radiography confirmed a FB in the rectum. The FB was removed at exploratory laparotomy following failed attempt at trans rectal removal under spinal anaesthesia. The FB was confirmed to be a perfume canister. The patient has remained well at two months of follow up. Male sexual assault by female is not uncommon and can lead to disastrous effects. The female sexual assault on male is underreported and reported usually when there are complications. There is need to do more in-depth study to investigate the incidence of this.

Rubber Foreign Bodies in Puncture Wounds of the Foot in Patients Wearing Rubber-Soled Shoes

2001 ◽  
Vol 22 (5) ◽  
pp. 409-414 ◽  
Author(s):  
Chang Haw Chong ◽  
William Verhoeven ◽  
Chay Wai Mun
Keyword(s):  
Foreign Bodies ◽  
Correct Diagnosis ◽  
High Index ◽  
Puncture Wound ◽  
History Of ◽  
High Index Of Suspicion ◽  
Infective Complications

We report 8 cases of puncture wound of the foot associated with rubber foreign bodies in patients who were wearing rubber-soled shoes. The difficulty in making the correct diagnosis and the complications arising from these injuries are reviewed. The morbidity associated with these seemingly innocuous puncture wounds can be serious. Infective complications resolved only with removal of all imbedded rubber foreign bodies. A history of wearing rubber-soled shoes during the injury and a high index of suspicion may prevent complications.

scholarly journals Foreign body (copper wire) in urinary bladder and urethra: an unusual case presentation

2021 ◽  
Vol 8 (11) ◽  
pp. 3498
Author(s):  
Nipun Bansal ◽  
Anuj Mahajan ◽  
Manjunath Shetty ◽  
Prashanth Adiga ◽  
Kishan Raj ◽  
...  
Keyword(s):  
Foreign Body ◽  
Urinary Bladder ◽  
Male Patient ◽  
Severe Pain ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Copper Wire ◽  
Young Male ◽  
Case Presentation ◽  
History Of

Foreign bodies are rarely reported in the urinary bladder and urethra; though it is a topic of curiosity amongst the urologists and surgeon. In majority of the cases, the foreign body is removed via the transurethral approach. A 19-year-old young male patient was brought to our Institution with history of insertion of a wire through urethra during act of masturbation in the middle of night. Patient was having severe pain in penis along with burning micturition. Patient was taken up in emergency for retrieval of the foreign body (wire) transurethrally (cystoscopic approach). Scope was inserted through urethra and the foreign body retrieved was found to be “copper wire”.

scholarly journals Self-insertion of a screwdriver into the rectum for sexual pleasure: A case report

2013 ◽  
Vol 10 (1) ◽  
Author(s):  
Mohammad Sharif ◽  
Javad Alizargar
Keyword(s):  
Emergency Department ◽  
Foreign Bodies ◽  
Anal Verge ◽  
Digital Rectal Examination ◽  
Sexual Pleasure ◽  
Lower Quadrant ◽  
Rectal Foreign Bodies ◽  
Sex Toys ◽  
Anal Area ◽  
Manual Extraction

Rectal foreign bodies are rare conditions that happen mostly for sexual purposes. Sex toys are the commonest objects. A 56 year old man came to the emergency department of the Shahid Beheshti Hospital with pain in the left lower quadrant of his abdomen and a feeling of discomfort in the anal area. Digital rectal examination was normal but a metal object was palpable 8cm distal to the anal verge. A plain x-ray demonstrated a screwdriver in the rectum. Initial attempts at manual extraction were unsuccessful in the emergency department. An attempt at removing the screwdriver from the rectum using Kelly Forceps with the patient in the jackknife position was successful.

scholarly journals Red herring unmasked: the trail leading to retinoblastoma

2021 ◽  
Vol 3 (2) ◽  
pp. 101-106
Author(s):  
Variant Nee Vern Chee ◽  
Li Yen Chan ◽  
Zayani Binti Zohari ◽  
Fazliana Binti Ismail ◽  
Jamalia Binti Rahmat
Keyword(s):  
Anterior Chamber ◽  
Blunt Trauma ◽  
Poor Prognosis ◽  
Foreign Bodies ◽  
Histopathological Examination ◽  
Case Series ◽  
Accurate Diagnosis ◽  
Vitreous Haemorrhage ◽  
History Of ◽  
High Index Of Suspicion

This case series highlights the possibility of retinoblastoma in children with a history of trauma. Retinoblastoma commonly presents with leukocoria. In our series, the history of blunt trauma led to a misdiagnosis. The delay in correctly diagnosing retinoblastoma was made more difficult with hyphaema and vitreous haemorrhage obscuring the fundus view. Hyperdensities in imaging tests were mistaken for intraocular foreign bodies and post-trauma insult rather than calcification of an intraocular tumour. Both patients underwent anterior chamber washout. The patients were referred to our centre when their condition worsened. Retinoblastoma was highly suspected and confirmed from histopathological examination after enucleation. An accurate diagnosis can only be achieved by exercising a high index of suspicion. Misdiagnosis and mismanagement will lead to poor prognosis.

CASE REPORT: RARE FORM OF HIRSCHPRUNG’S DISEASE

2020 ◽  
Vol 30 (5) ◽  
pp. 82-84
Author(s):  
Ilja Skalskis
Keyword(s):  
Down Syndrome ◽  
Case Report ◽  
Clinical Symptoms ◽  
Hirschsprung Disease ◽  
Distal Colon ◽  
Total Colonic Aganglionosis ◽  
Sphincter Function ◽  
Anal Sphincter Function ◽  
History Of ◽  
High Index Of Suspicion

Hirschsprung disease (HD) is a developmental disorder characterized by the absence of ganglia in the distal colon, resulting in a functional obstruction. Incidence of total colonic aganglionosis (TCA) is 1 in 500 000 and it accounts for 5-10% of all cases of HD. HD should be suspected in patients with typical clinical symptoms and a high index of suspicion is appropriate for infants with a predisposing condition such as Down Syndrome (DS), or for those with a family history of HD. The treatment of choice for HD is surgical, such as Swenson, Soave, and Duhamel procedures. The goals are to resect the affected segment of the colon, bring the normal ganglionic bowel down close to the anus, and preserve internal anal sphincter function. We present a clinical case report of TCA in a child with Down syndrome (DS) and review of literature.

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