Management of Rectal Foreign Bodies: A Case Series Analysis

• Published in: Turkish journal of colorectal disease 2021-09, Vol.31 (3), p.204-209
• Main Authors: Süleyman, Marlen, Şenlikçi, Abdullah, Bezirci, Rıfat, Durhan, Abdullah, Koşmaz, Koray
• Format: Article
• Language: eng ; tur
• Subjects: Deodorants; Emergency medical care; Foreign bodies; Ostomy
• ISSN: 2536-4898; 2536-4901
• DOI: 10.4274/tjcd.galenos.2021.2021-12-6

Aim: Rectal foreign bodies are rare cases encountered in the emergency department. Taking the correct history and applying the correct treatment algorithm is important in the management of these cases. The aim of this study was to evaluate the patients who presented at the emergency department (ED) with a rectal foreign body. Method: The study included patients who were evaluated by the general surgery department for rectal foreign body in the ED of Ankara Training and Research Hospital between January 2016 and December 2020. The patients were evaluated in terms of age, gender, foreign body type, clinical findings, imaging method, whether the surgery was performed, how the foreign body was removed, perforation, and anesthesia method. Results: Out of 12 cases, the foreign bodies removed from each of the cases were a shampoo bottle, a bottle of black seed, a plastic bowling pin, an enema cover, a roll-on deodorant bottle, a spray deodorant bottle, a plastic toy ball, a lubricant gel bottle, a face toner bottle, a piece of wood, an effervescent tablets tube, and a tea cup, all of which having (8.3%) each. The foreign body was used for sexual stimulation in 11 cases. Two of the cases had anorectal pain and two had abdominal pain. In six cases (50%), the foreign body was removed rectally with spinal anesthesia. Two patients underwent laparotomy under general anesthesia, and in one (8.3%) of these cases, colon perforation was determined, so Hartman colostomy was performed. Conclusion: Patients presenting with rectal foreign bodies should be evaluated carefully, and acute abdominal perforation should be ruled out. Bodies causing distal lesions should be removed transanally with sedation or locoregional anesthesia. In cases with perforation, primary repair, segmental resection, or Hartman or loop colostomy should be performed according to the contamination status and perforation width.