scholarly journals A new and simple extraction technique for rectal foreign bodies: removing by cutting into small pieces

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Abbas Aras ◽  
Mehmet Karabulut ◽  
Osman Kones ◽  
Kaplan Baha Temizgonul ◽  
Halil Alis
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Simple Technique ◽  
Intestinal Wall ◽  
Fruit And Vegetables ◽  
Extraction Technique ◽  
Rectal Foreign Bodies ◽  
Simple Extraction

The purposes of insertion and types of foreign bodies in rectum show great variation. Rectal foreign bodies need to be removed without giving damage to intestinal wall and this should be done in the easiest possible way. We have reported a new and a simple technique. It is easy to apply and safe. A patient was admitted to our clinic with a rectal foreign body (radish) which was successfully removed by cutting it into small pieces. We conclude that different kinds of rectal foreign bodies, especially fruit and vegetables, can be removed by this technique.

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.

scholarly journals C-Arm Fluoroscopy: A Reliable Modality for Retrieval of Foreign Bodies in the Maxillofacial Region

2013 ◽  
Vol 14 (6) ◽  
pp. 1193-1196 ◽  
Author(s):  
Deepak Pandyan ◽  
N Nandakumar ◽  
Burhanuddin N Qayyumi
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Simple Technique ◽  
Mandibular Angle ◽  
Maxillofacial Region ◽  
Foreign Body Retrieval ◽  
Triangulation Method ◽  
Daunting Task ◽  
Present Technique

ABSTRACT The anatomic complexity of the maxillofacial region makes the retrieval of foreign bodies a daunting task for the maxillofacial Surgeon. Moreover the inability of 2-dimensional imaging to precisely locate foreign bodies makes it challenging. The anatomic proximity of critical structures and esthetic considerations limits the access and thus poses a greater challenge for the surgeon in cases of foreign body retrieval. Hereby we propose a simple technique and a case report to support, the retrieval of small (<5 mm greatest dimension) objects from the maxillofacial region. The present technique uses a 2 dimensional mobile C arm Fluoroscopy and a needle triangulation method to precisely locate a loosened miniplate screw in the mandibular angle region. How to cite this article Pandyan D, Nandakumar N, Qayyumi BN, Kumar S. C-Arm Fluoroscopy: A Reliable Modality for Retrieval of Foreign Bodies in the Maxillofacial Region. J Contemp Dent Pract 2013;14(6):1193-1196.

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 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 Intestinal perforation by an ingested foreign body

2016 ◽  
Vol 49 (5) ◽  
pp. 295-299 ◽  
Author(s):  
Gabriel Cleve Nicolodi ◽  
Cesar Rodrigo Trippia ◽  
Maria Fernanda F. S. Caboclo ◽  
Francisco Gomes de Castro ◽  
Wagner Peitl Miller ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Foreign Body ◽  
Peritoneal Cavity ◽  
Intestinal Perforation ◽  
Foreign Bodies ◽  
Intestinal Wall ◽  
X Rays ◽  
Dental Prostheses ◽  
Mesenteric Fat ◽  
Ingested Foreign Body

Abstract Objective: To identify the computed tomography findings suggestive of intestinal perforation by an ingested foreign body. Materials and Methods: This was a retrospective study of four cases of surgically proven intestinal perforation by a foreign body, comparing the computed tomography findings with those described in the literature. Results: None of the patients reported having ingested a foreign body, all were over 60 years of age, three of the four patients used a dental prosthesis, and all of the foreign bodies were elongated and sharp. In all four patients, there were findings indicative of acute abdomen. None of the foreign bodies were identified on conventional X-rays. The computed tomography findings suggestive of perforation were thickening of the intestinal walls (in all four cases), increased density of mesenteric fat (in all four cases), identification of the foreign body passing through the intestinal wall (in three cases), and gas in the peritoneal cavity (in one case). Conclusion: In cases of foreign body ingestion, intestinal perforation is more common when the foreign body is elongated and sharp. Although patients typically do not report having ingested such foreign bodies, the scenario should be suspected in elderly individuals who use dental prostheses. A computed tomography scan can detect foreign bodies, locate perforations, and guide treatment. The findings that suggest perforation are thickening of the intestinal walls, increased mesenteric fat density, and, less frequently, gas in the peritoneal cavity, often restricted to the point of perforation.

scholarly journals Successful Transanal Removal of a Rectal Foreign Body by Abdominal Compression under Endoscopic and X-Ray Fluoroscopic Observation: A Case Report

2016 ◽  
Vol 10 (3) ◽  
pp. 646-652 ◽  
Author(s):  
Hironobu Mikami ◽  
Norihisa Ishimura ◽  
Akihiko Oka ◽  
Ichiro Moriyama ◽  
Takafumi Yuki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Abdominal Compression ◽  
X Ray ◽  
Large Size ◽  
Rectal Foreign Bodies ◽  
Abdominal Examination

We occasionally encounter patients with various types of rectal foreign bodies. When too large to grasp, transanal removal can be difficult. Here, we report a case of successful manual transanal removal of an 18 × 4 × 4 cm silicon rod without complications. A 50-year-old male came to the emergency department of our hospital 12 h after transanal insertion of a whole silicon rod. An abdominal examination showed no evidence of peritonitis, while X-ray and computed tomography findings revealed a large foreign body in the rectum, without any sign of perforation. Initially, we attempted removal using an endoscopy procedure with conventional endoscopic instruments, including a snare and grasp forceps, though we failed because of the large size. Next, we manually compressed the foreign body from the abdominal wall under endoscopic and X-ray fluoroscopic observation, and successfully removed it in a transanal manner without complications. Endoscopic and X-ray fluoroscopic assistance were helpful to guide the direction and angle of abdominal compression in this case.

scholarly journals Rectal Foreign Bodies in Older Men: a Novel Challenge and Humanistic Care for the Society

2021 ◽  
Author(s):  
Zhenyu Yang ◽  
Peiyuan Xin ◽  
Tao Zhang ◽  
Chuxin Zhou ◽  
Xianli He ◽  
...  
Keyword(s):  
Foreign Body ◽  
Literature Search ◽  
Foreign Bodies ◽  
The Elderly ◽  
Older Men ◽  
Chinese Patients ◽  
Elderly Men ◽  
Male Group ◽  
Rectal Foreign Bodies ◽  
Chinese Male

Abstract Background: In recent years, rectal foreign bodies are a common proctological emergency in the male population, especially in Chinese elderly men that often requires the intervention of the surgeon due to its complications. The aim of this review is to describe the epidemiology and clinical characteristics of rectal foreign bodies in elderly men and its possible challenge to clinicians and society. Methods: A comprehensive literature search was conducted in English databases (PubMed, Embase, Web of Science, the Cochrane Library) and Chinese databases (CNKI, Wan Fang, VIP, Chinese biomedical database) from January 2000 to December 2020. All rectal foreign bodies relevant studies were considered, if they reported the purpose for a foreign body in the rectum and related treatment measures. Contemporaneous rectal foreign bodies cases data from our center were also analyzed. Two authors independently extracted the data and reviewed the quality of the included research. According to the differences in population background, we divided the elderly Chinese male group and the elderly non-Chinese male group, the parameters of the two groups were analyzed by statistical methods.Results: A total of 159 literatures were preliminarily retrieved in initial literature search with rectal foreign body as the search term, including 86 Chinese literatures and 73 English literatures. A total of 582 patients were the elderly male patients, included 276 Chinese patients and 307 non-Chinese patients. In older men, the sources of foreign bodies can be divided into three categories: the ones that are inserted from the anus, the ones that are swallowed and thereafter become stuck in the rectum, the other that are caused by improper medical practices. The most common purpose for a foreign body in the rectum was insertion for erotic purposes. In the foreign body type, the daily articles account for the majority. Sexual articles are mainly found in pleasure seekers. There was no significant difference in foreign body sources, size, type, treatment selection and outcome between the two groups.Conclusions: In older men, there is an increasing number of cases of rectal foreign body emergency visits for erotic purposes and sexual needs. Although the source, size and type of foreign body are different, and patients can get a better recovery after active and appropriate clinical treatment, the sexual needs are social problem we should pay attention to in older men. Treatment of sexual issues is a multidimensional task that should be implemented as a collaborative effort and older people should get more humanistic care in this regard.

A new extraction technique for rectal foreign bodies with a rubber band ligation device

Surgery Today ◽  
2010 ◽  
Vol 40 (6) ◽  
pp. 583-585 ◽  
Author(s):  
Cemil Çalişkan ◽  
Can Karaca ◽  
Erhan Akgün ◽  
Mustafa A. Korkut
Keyword(s):  
Foreign Bodies ◽  
Rubber Band Ligation ◽  
Rubber Band ◽  
Extraction Technique ◽  
Band Ligation ◽  
Rectal Foreign Bodies

A patient with a foreign body in the large intestine – a case report

Nowa Medycyna ◽  
2019 ◽  
Vol 26 (4) ◽  
Author(s):  
Paweł Siekierski ◽  
Waldemar Kiereś ◽  
Przemysław Ciesielski
Keyword(s):  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Sexual Practices ◽  
Abdominal Pressure ◽  
Surgical Interventions ◽  
Rectal Foreign Bodies ◽  
Different Types ◽  
Foreign Body Impaction ◽  
Sexual Play

Cases of patients with foreign bodies impacted in the terminal part of the gastrointestinal tract are rarely encountered in everyday surgical practice. Injuries and sexual practices are the most common aetiology of foreign body impaction in the lower gastrointestinal tract. Different types of surgical interventions are often needed in patients with anal or rectal foreign bodies. We describe a case of a 45-year-old patient who reported to hospital with the symptoms of low gastrointestinal obstruction. The man introduced a large foreign body into his anus during sexual play and was unable to remove it by himself. An attempt to remove the foreign body through the perineal access was made, but was unsuccessful due to the size of the impacted object. The patient was qualified for surgical treatment. Laparotomy was performed, and the foreign body was removed by a simultaneous use of abdominal pressure and extraction from the anal canal.

scholarly journals Rectal Foreign Body Removal in the Emergency Department: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 450-453
Author(s):  
Samuel Nesemann ◽  
Kimberly Hubbard ◽  
Mehdi Siddiqui ◽  
William Fernandez
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Emergency Physicians ◽  
Review Of The Literature ◽  
Foreign Body Removal ◽  
Rectal Foreign Bodies

Introduction: Rectal foreign bodies (RFB) pose a challenge to emergency physicians. Patients are not often forthcoming, which can lead to delays to intervention. Thus, RFBs require a heightened clinical suspicion. In the emergency department (ED), extraction may require creative methods to prevent need for surgical intervention. Case Report: The authors present a case of a successful extraction of a RFB in the ED and review of the literature. Conclusion: Retained RFBs are an unusually problematic reason for an ED visit. Thus, it is important for emergency physicians to be comfortable managing such cases appropriately.

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