scholarly journals Rectal Foreign Body in a 30 Year Old Male- A Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 35-37
Author(s):  
Md Monoarul Islam Talukdar ◽  
Quamrul Akter ◽  
Md Abdullah Al Mamun ◽  
Abdullah Md Abu Ayub Ansary

Though anorectal foreign body cases are rare, they have become increasingly frequent in recent years. Although entrapped foreign bodies are most often related to sexual behavior, they can also result from ingestion or sexual assault. The diagnosis may be made by rectal examination and metallic objects can be confirmed by plain abdominal radiographs. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodies usually require an operative intervention. An early decision of laparotomy should only be made after subjecting the patient to suitable investigations to determine exact location of the object, in order to avoid any inadvertent damage to the adjoining vasculature as well as anal incontinence. . We report the case of a young male who presented at surgery department of Shaheed Suhrawardy medical college hospital with severe rectal pain due to insertion of an apple into rectum by some eunuchs. It was successfully removed transanally under spinal anesthesia. Post operative period was uneventful and referred for psychiatric consultation.J Shaheed Suhrawardy Med Coll, June 2017, Vol.9(1); 35-37

2020 ◽  
Vol 14 (2) ◽  
pp. 74-78
Author(s):  
MM Shahin Ul Islam ◽  
Mst Naznin Sarker ◽  
ATM Ataur Rahman ◽  
Mohammad Saiful Haque ◽  
Suranjit Kumar Saha ◽  
...  

Accidental ingestion and impaction of food or non-food foreign body in upper GIT is not uncommon. This retrospective study was undertaken at Gastroenterology department of Faridpur Medical College Hospital, Bangladesh. Data were collected from endoscopy software by computer search among patients with foreign bodies in upper GIT from January 2012 to December 2018. Total 41 patients with endoscopically proved ingested with or without impacted foreign body in the upper GIT were studied. Of them, 28 were male and 13 were female with age ranges from 15 to 85 years with a mean age of 52.66 ± 19.7 years. Meat bolus was the commonest type (12; 29.3%), followed by dental prosthesis (9; 22%). Most of them (24; 58%) were impacted between 20 to 30 cm from incisor teeth. We could successfully remove 38 cases with a success rate of 92.7% with the help of dormia basket, polypectomy snare & rat tooth foreign body grasper. We found few erosions and superficial ulcerations at the impacted site among patients with dental prosthesis, pill with strip and chicken bone. One patient with sharp flat bone of hilsa fish was impacted at esophagus like sharp cutting blade and produced incised looking wound at both esophageal walls. In 19 cases (46.34%) we found definite anatomic abnormalities and 19 cases (46.34%) no abnormalities was found. Rest 3 cases, who were referred to surgeon we failed to know the underlying pathology. Sharp foreign bodies impacted at upper esophagus were difficult to remove endoscopically. Faridpur Med. Coll. J. Jul 2019;14(2): 74-78


2017 ◽  
Vol 4 (3) ◽  
pp. 1119
Author(s):  
Robin George Cheereth ◽  
George Abraham Ninan

Colorectal foreign bodies are infrequently encounteredand present a dilemma for management. The diagnosis may be confirmedby plain abdominal radiographs and rectal examination, butabdominal computerized tomography with 3-D reconstruction can be decisive in thefurther management and must be advised without reconsideration. Transanal removal is only possible for very low-lying objects, while patients with high-lying foreign bodiesusually require anoperative intervention. An early decision of laparotomy should only be madeafter subjecting the patient to suitable investigations to determineexactly the localization of the object, in order toavoid any inadvertent damage to the adjoining vasculatureas well as anal incontinence. We report the case of a youngadult male who presented in the emergency department with a Hand Held Bidet Shower inserted per rectum. Transanal removal was unsuccessful and Emergent laparotomy with colotomy and primary repair was necessary for safe removal of the same.


1970 ◽  
Vol 17 (2) ◽  
pp. 104-109
Author(s):  
Md Golam Mustafa ◽  
Khabiruddin Ahmed ◽  
Mahmudal Hasan

Objective: To study the quality of life in patient who underwent ESS operation. Design and setting: A prospective study conducted over a period of one(01) year; from July 2004 to June 2005 in Otolaryngology – Head & Neck Surgery Department of Shaheed Suhrawardy Medical College Hospital and Dhaka Medical College Hospital, Dhaka, Bangladesh. Results: Hospital admitted 60(Sixty) cases of ESS patients were included and analyzed. 42 cases were male; whereas 18 cases were female in this study. 21-40 years (44 cases) were the commonest age group of study people. No significant/ alarming complications were recorded during post operative period. Conclusion: Instead of all limitations, outcome of ESS is more acceptable in comparison with conventional sinus surgery. The main symptoms, like nasal obstruction, discharge, headache and facial pain get relieved off dramatically which is compatible with other recognized study. Key words: Endoscopic sinus surgery; open the sinuses; restore normal air flow. DOI: http://dx.doi.org/10.3329/bjo.v17i2.8849 BJO 2011; 17(2): 104-109


2021 ◽  
Vol 14 (5) ◽  
pp. e241538
Author(s):  
Sivaraman Kumarasamy ◽  
Lileswar Kaman ◽  
Azhar Ansari ◽  
Amarjyoti Hazarika

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.


2012 ◽  
Vol 1 (1) ◽  
pp. 41-42
Author(s):  
Deb Prosad Paul ◽  
Debasish Das ◽  
Kazi Sohel Iqbal

In the urinary tract, foreign body is most commonly found in the urinary bladder. It is commonly self-inflicted but can rarely be introduced by other person. Various types of foreign bodies have been reported, which includes infusion set, aluminum rod, gold chain, pearl, fish, pencil etc. Here we report a case of a 28-year young man who gave the history of forceful introduction of a long wire of mobile charger into the bladder by another person. It could not be removed by himself and by the local doctors. Then he was referred to Enam Medical College & Hospital and subsequently was removed by suprapubic cystostomy. DOI: http://dx.doi.org/10.3329/jemc.v1i1.11139J Enam Med Col 2011; 1(1): 41-42


2019 ◽  
Vol 6 (12) ◽  
pp. 4327 ◽  
Author(s):  
Mohd Hamid Shafique Ahmed ◽  
Prakash W. Pawar ◽  
Ajit S. Sawant ◽  
Jitendra Sakharani ◽  
Amandeep Arora ◽  
...  

Background: The objective of the study was to study clinical presentation, mode of insertion, and management of intravesical foreign bodies in patients treated at our hospital.Methods: This was a retrospective study conducted between January 2018 to June 2019. Six patients underwent treatment for urinary bladder foreign body at Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, Maharashtra, India. Medical records were analyzed retrospectively with regard to nature of foreign body, each patient’s clinical presentation, the mode of insertion and how the foreign was managed.Results: A total of six foreign bodies were retrieved from patients’ urinary bladders. The patients range in age from 28 to 65 years (mean age was 45 years). The Clinical presentation includes Lower urinary tract symptoms. Four patients were male and two were female. Circumstance of insertion was iatrogenic in 5 patients and self-insertion in 1 patient. Five patients were treated endoscopically (cystoscopy retrieval with or without cystolithotrity) and one patient with supra pubic cystostomy. Post-operative hospital stay was of 1 to 2 days. Mean follow up period was 3 months. Psychiatric referral and counseling were done in patients with history of self-insertion of foreign body in urinary bladder.Conclusions: Foreign body in the urinary bladder remain a challenge to the urologist. Removal of the foreign body without injury to the urinary bladder or the urethra gives good outcome.


2011 ◽  
Vol 19 (1) ◽  
pp. 34-37
Author(s):  
Md Moniruzzaman Sarker ◽  
AKM Golam Kibria ◽  
Md Manzurul Haque ◽  
Kali Prosad Sarker ◽  
Md Khalilur Rahman

A case of sub-acute intestinal obstruction due to spontaneous complete transmural migration of a retained surgical mop into the small intestinal lumen has been treated surgically in surgery department of Rajshahi Medical College Hospital. The patient presented with colicky abdominal pain, nausea, occasional abdominal distention and vomiting. She had history of abdominal operation twice previously. Abdominal examination revealed a mobile lump in the right side of abdomen. Diagnosis could be made only at laparotomy.   doi: 10.3329/taj.v19i1.3167 TAJ 2006; 19(1): 34-37


2022 ◽  
Vol 12 (2) ◽  
pp. 119-122
Author(s):  
Md Mustafizur Rahman ◽  
Tanvir Ahmed ◽  
Mohammad Rashedul Hassan ◽  
Mansurul Islam

Gastrointestinal stromal tumours are the most common mesenchymal tumours of the gastrointestinal tract. This case report highlights the necessity of early surgical intervention in such cases to avoid mortality due to bleeding and to raise the awareness of rare causes of upper gastrointestinal bleed and their management. A 19 year old male presented in the surgery department of Shaheed Suhrawardy medical College Hospital with complaints of recurrent episodes of melena with anorexia and weight loss for 6 months. Apart from anaemia no significant findings were noted on physical examination. Investigations including upper GI endoscopy was not conclusive. So he underwent laparotomy which revealed an exophytic growth along the lesser curvature. Lower partial gastrectomy was done and histopathological and immunohistochemistry report showed evidence of benign low risk GIST. As the tumor was benign with no malignant potential imatinib therapy was not advocated. J Shaheed Suhrawardy Med Coll 2020; 12(2): 119-122


2016 ◽  
Vol 10 (2) ◽  
pp. 59-62
Author(s):  
Nripendra Nath Biswas ◽  
Wazir Ahmed Chaudhury ◽  
Jahangir Alam Khan ◽  
Akhil Chandra Biswas ◽  
Khan Mohammad Arif ◽  
...  

Hypocalcaemic tetany is one the commonest complication after total thyroidectomy. It may cause significant morbidity. Early detection and treatment have better out come. The main objective of the study is to find the incidence of hypcalcaemic tetany in post operative period after total thyroidectomy and average interval period of hypocalcaemia following surgery. This was an observational study conducted in the department of Otolaryngology & head-Neck Surgery Sylhet M.A.G. Osmani Medical College Hospital during 1st January 2006 to 31st December 2007. Pre-operative routine investigation, Thyroid Function test, Ultrasonography thyroid gland and cytological evaluation by FNAC were done in all patients. Ten patient developed hypocalcaemia after surgery. Among them only one suffered from permanent hypocalcaemia. Most of the patient developed symptoms about 48 hours after surgery. The Incidence and time interval of development of hypocalcaemic tetany after total thyroidectomy found in the series fully coincides with the results of other researchers globally.Faridpur Med. Coll. J. Jul 2015;10(2): 59-62


Mediscope ◽  
2016 ◽  
Vol 3 (1) ◽  
pp. 22-27
Author(s):  
MS Islam ◽  
MA Gafur ◽  
PK Deb ◽  
A Bardhan ◽  
L Noor

Foreign bodies (FB) in the aero-digestive tract continue to be a common problem that contributes significantly to high morbidity and mortality worldwide. This study was conducted to describe our own experience with endoscopic procedures for removal of FB in the aero-digestive tract, in our local setting and compare with what is described in literature. This was a prospective descriptive study, which was conducted at Jahurul Islam Medical College Hospital between January, 2011 and January, 2014. Data were collected using a structured questionnaire and analyzed using SPSS computer software version 15. A total of 72 patients were studied. Males outnumbered females by a ratio of 1.4:1. Patients aged 2 years and below were the majority (75.9%). The commonest type of FB in airways was peanuts and coins. The trachea (52.2%) was the most common site of lodgment of FB in the airways, whereas cricopharyngeal sphincter (68.5%) was the commonest site in the esophagus. Rigid endoscopy with forceps removal under general anesthesia was the main treatment modality performed in 87.8% of patients. The FB were successfully removed without complications in 90.8% of cases. Complication rate was 7.1% and bronchopneumonia was the most common complication accounting for 42.8% of cases. The mean duration of hospital stay was 3 days and mortality rate was 4.1%. Aero-digestive tract FB continue to be a significant cause of childhood morbidity and mortality in our setting. Rigid endoscopic procedures under general anesthesia are the main treatment modalities performed. Prevention is highly recommended whereby parents should be educated to keep a close eye on their children and keep objects that can be FB away from children’s reach.Mediscope Vol. 3, No. 1: January 2016, Pages 22-27


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