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Int J Surg Case Rep 2022 Apr 6;94:107051. Epub 2022 Apr 6.

Digestive System Surgery service at Getúlio Vargas University Hospital (HUGV), Manaus, Brazil.

Introduction: Retained rectal objects represent a rare complaint in the emergency room, affecting mainly males between 20 and 40 years, with most objects of a sexual nature, but the examiner must be aware of objects of an unusual nature.

Presentation Of Case: A 54-year-old male patient arrives at the surgical emergency department, with a report of an accident with the insertion of an object via the rectum, a gym dumbbell. Initially opted for transrectal object removal, but with difficulties due to its position. Read More

Cureus 2022 Jan 31;14(1):e21789. Epub 2022 Jan 31.

Department of Gastroenterology, Faculty of Medicine, Oita University, Yufu, JPN.

Button battery ingestion accidents have been reported in multiple previous reports. However, ingestion of cylindrical-type batteries is significant less described in the literature. Cylindrical batteries can reportedly cause corrosive damage to the gastrointestinal mucosa after long-term retention, leading to ulceration and perforation. Read More

East Afr Health Res J 2021 15;5(2):137-141. Epub 2021 Nov 15.

Department of General Surgery, Mpeketoni Hospital, Lamu County, Kenya.

Foreign bodies in the anus and rectum are not uncommon presentations globally. Reasons for foreign bodies in the rectum can be trauma, assault, psychiatric reasons but the most common reason documented is sexual pleasure, and objects range from sex toys to tools to packed drugs. Regardless of the reason, health care providers must maintain nonjudgmental composure and express empathy. Read More

Emerg Radiol 2022 Apr 13;29(2):377-382. Epub 2022 Jan 13.

Department of Radiology, University of California-San Diego Medical Center, 200 West Arbor Drive, San Diego, CA, 92103, USA.

Purpose: Ingestion of a toothbrush is an unusual event but may occur either accident or by intent. Radiological examinations play a crucial role in determining the exact location of the object within the gastrointestinal tract and in planning for its removal by endoscopic or surgical intervention.

Methods: Medical and radiological records of 8 patients who had swallowed the broken heads or entire toothbrush were retrospectively reviewed. Read More

Cureus 2021 Nov 18;13(11):e19697. Epub 2021 Nov 18.

Internal Medicine, Leicester Royal Infirmary, Leicester, GBR.

Foreign body insertion in the rectum is not a very common presentation in the emergency department but this is common among individuals with a history of self-harm, personality disorders, and other psychosomatic illnesses. It is often diagnosed on abdominal x-rays; however, a CT scan of the abdomen and pelvis may be warranted when perforation is suspected. To diagnose an anorectal foreign body, clinicians must maintain a high level of suspicion. Read More

Ann R Coll Surg Engl 2021 Nov;103(10):734-737

Royal Wolverhampton Hospitals NHS Trust, UK.

Introduction: Insertion of foreign objects into the rectum is a well-described phenomenon and not an uncommon referral to the general surgeon on call. Although usually not life-threatening, there can be consequences following migration of the object or perforation of the large bowel. This study looks at the incidence of removal of foreign objects from the rectum over the last decade and the financial burden it presents to the NHS. Read More

Asian J Surg 2021 Jun 21;44(6):881-882. Epub 2021 Apr 21.

Anorectal Department, The Affiliated Hospital of Southwest Medical University, Luzhou, China. Electronic address:

Dis Colon Rectum 2021 06;64(6):e368-e370

Division of Colorectal Surgery, Brown University, Providence, Rhode Island.

Background: Retained rectal foreign bodies are a common concern in patients presenting to the emergency department. Thankfully, the rates of injury from these retained objects are low. Numerous techniques have been described for the extraction of these foreign bodies, including using endoscopic snares, Foley catheters to break suction mechanisms, and various kinds of clamps to grasp the objects. Read More

Int J Surg Case Rep 2021 Apr 11;81:105740. Epub 2021 Mar 11.

Department of General Surgery, Grant Medical College and Sir JJ Group of Hospitals, Byculla, Mumbai, 400008, India. Electronic address:

Introduction And Importance: Rectal perforations due to foreign body impalement are infrequently encountered in practice. Accidental or intentional foreign body insertions pose a diagnostic challenge to surgeons and put them in demanding circumstances for successful extraction.

Case Presentation: We report a case of a 60-year-old male with alleged history of accidental foreign body insertion into the rectum. Read More

Cureus 2021 Feb 8;13(2):e13234. Epub 2021 Feb 8.

Internal Medicine, Jinnah Postgraduate Medical Centre, Karachi, PAK.

Introduction: Foreign rectal body is one of the less common presentations in the emergency department and has a variety of etiologies. Our aim is to study the mode of injury, clinical presentation, diagnosis, surgical intervention and outcomes associated with a rectal foreign body.

Methods: This cross-sectional case series was conducted from January 2019 to July 2019 in the surgical unit of a tertiary care teaching hospital in Pakistan. Read More

Ann Palliat Med 2021 Feb 18;10(2):2371-2378. Epub 2021 Feb 18.

Department of Gynecology and Obstetrics, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Intrauterine devices (IUDs) are the most popular form of contraception globally; however, the use of IUDs carries some risks. IUD migration is a rare but serious complication that occurs after insertion, sometimes years later. Herein, we report 3 cases of translocated IUDs removed by endoscopy and describe the clinical characteristics and intraoperative findings of these patients. Read More

Surg Case Rep 2021 Feb 17;7(1):51. Epub 2021 Feb 17.

Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.

Background: Intrapelvic aberrant needles are rare in clinical practice. Long-term foreign bodies in the abdominal cavity may form granulation tissue or an abscess, and may cause organ injury. Therefore, such foreign bodies need prompt removal. Read More

Tech Coloproctol 2021 03 9;25(3):339-342. Epub 2021 Jan 9.

Department of General Surgery, Kaiser Permanente, San Diego, CA, USA.

Removal of rectosigmoid retained foreign bodies (RFB) may require laparoscopy and often laparotomy. Proctoscopic extraction from the distal sigmoid colon and proximal rectum can be technically difficult. Using a transanal minimally invasive surgery (TAMIS) approach, RFBs can be safely removed, avoiding an abdominal operation with associated morbidity. Read More

BMJ Case Rep 2021 Jan 4;14(1). Epub 2021 Jan 4.

Digestive and Interventional Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy.

Rectal erosions after ventral rectopexy (VR) is an uncommon but challenging adverse event and can be associated with partial migration of the mesh into the intestinal cavity. Re-do surgery is difficult and often provides colostomy and/or anterior rectal resections. However, no alternative solutions are described in the available literature. Read More

J Obstet Gynaecol Can 2021 Jun 30;43(6):760-762. Epub 2020 Sep 30.

Department of Medical Microbiology and Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB; Department of Medicine, Section of Infectious Diseases, Max Rady College of Medicine, University of Manitoba, Winnipeg, MB.

Background: Colorectal injury from an intrauterine device (IUD) is rare but may lead to major complications.

Case: A 55-year-old woman presented to a tertiary care hospital with 4 days of generalized weakness, confusion, dysuria, and lower back pain. She provided a vague history of an unsuccessful attempt to remove an IUD 30 years prior. Read More

Dis Colon Rectum 2020 12;63(12):e579-e580

Department of Surgery, Kadlec Regional Medical Center, Richland, Washington, USA.

Int J Colorectal Dis 2021 Feb 22;36(2):265-269. Epub 2020 Sep 22.

Department of Surgery, The University of Kansas, 4000 Cambridge, M/S 2005, Kansas City, KS, 66160, USA.

Purpose: Rectal foreign bodies can pose a unique problem to the acute care surgeon or emergency room physician. Little data exists on the patient with such a diagnosis, outside of case reports, and institutional cohorts. This study describes demographics and outcomes for this patient population. Read More

Acta Biomed 2020 09 7;91(3):e2020074. Epub 2020 Sep 7.

Gastroenterology and Endoscopy Unit University Hospital of Parma Parma, Italy.

Incidence of emergency access due to retained large rectal foreign bodies is increased in the last years. Such situations are a challenge because often, due to their size and physical characteristics, the large foreign bodies of the rectum cannot be extracted manually or by endoscopy, thus requiring surgery, as reported in the literature. We report a case of a 59-old male with a retention of a large vegetable rectal foreign body (whole eggplant) successfully subjected to endoscopic removal without the need for surgery. Read More

Korean J Gastroenterol 2020 07;76(1):42-45

Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.

Although not as common as foreign bodies in the upper gastrointestinal tract, rectal foreign body insertion is often encountered in emergency departments. The diverse types of rectal foreign bodies have led to various removal methods. When removing a foreign body, the first thing to consider is which method is the least invasive and safest for the patient. Read More

Acta Gastroenterol Belg 2020 Jan-Mar;83(1):61-65

Department of Orthopaedic Surgery, Columbia University Medical Center, New York, USA.

Background: Self-inserted foreign rectal bodies are an infrequent occurrence, however they present a serious dilemma to the surgeon, due to the variety of objects, and the difficulty of extraction. The purpose of this study is to give a comprehensive review of the literature regarding the epidemiology, diagnostic tools and therapeutic approaches of foreign rectal body insertion.

Methods: A comprehensive systematic literature review on Pubmed/ Medline and Google for 'foreign bodies' was performed on January 14th 2018. Read More

Ann Coloproctol 2020 Oct 31;36(5):335-343. Epub 2020 Jan 31.

Department of Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Purpose: Because insertion of a foreign body (FB) into the anus is considered a taboo practice, patients with a retained rectal FB may hesitate to obtain medical care, and attending surgeons may lack experience with removing these FBs. We performed this study to evaluate the clinical characteristics of Korean patients with a retained rectal FB and propose management guideline for such cases based on our experience.

Methods: We retrospectively investigated 14 patients between January 2006 and December 2018. Read More

Int J Surg Case Rep 2020 4;66:146-148. Epub 2019 Dec 4.

Faculty of Medicine, University of Khartoum, Sudan. Electronic address:

Introduction: Retained foreign bodies in the rectum represent a common challenge to clinicians. They have different modes and reasons for insertion. Many case series and case reports described several methods for removal of these foreign bodies. Read More

ANZ J Surg 2020 06 31;90(6):1184-1186. Epub 2019 Oct 31.

Department of Colorectal and General Surgery, Gosford Hospital, Central Coast, New South Wales, Australia.

Dig Endosc 2020 Jan 31;32(1):e9-e10. Epub 2019 Oct 31.

Department of Internal Medicine, Nishijin Hospital, Kyoto, Japan.

Ann Med Surg (Lond) 2019 Nov 11;47:66-69. Epub 2019 Oct 11.

Department of Surgery, Kendall Regional Medical Center, Miami, FL, USA.

Background: Clinicians must maintain an index of suspicion to diagnose an anorectal foreign body (FB). The patient may not be forthcoming with information secondary to embarrassment or possibly psychiatric issues. Providers must express empathy and compassion while maintaining nonjudgmental composure. Read More

BMJ Case Rep 2019 Sep 12;12(9). Epub 2019 Sep 12.

Department of Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.

Intrauterine contraceptive device (IUCD) is a common birth control method. It is safe but can be associated with serious complications including migration into the peritoneal cavity and penetration into other intra-abdominal and pelvic viscera; most commonly the rectosigmoid colon. Different retrieval methods including endoscopy, laparoscopy or open abdominal surgery have been described. Read More

Endoscopy 2019 10 16;51(10):E276-E277. Epub 2019 May 16.

Department of Gastroenterology, First Affiliated Hospital of Nanjing Medical University, Nanjing, China.

Tech Coloproctol 2019 Apr 30;23(4):393-394. Epub 2019 Mar 30.

Department of Surgery, Government Medical College, Nagpur, 440003, India.

Rev Esp Enferm Dig 2019 Apr;111(4):320-321

Servicio de Aparato Digestivo, Hospital Universitario La Paz , España.

A colonoscopy was performed as part of a colorectal screening program on a 77-year-old female with positive fecal occult blood test. During withdrawal, two metallic elongated foreign bodies, around 20 mm in length were found pinned into the transverse colon and rectal wall. A computed tomography with multiplanar reconstruction showed two metallic density T-shaped foreign bodies that resembled intrauterine devices (IUDs) that penetrated the intestinal wall , which ruled out other complications. Read More