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Ann Ital Chir 2019 ;90:88-92

Foreign bodies in the rectum are a true proctological emergency. The incidence of these cases is increasing in recent years mostly due to auto-erotic acts and behavior disordes and is mainly observed in young patients. Most patients with rectal foreign bodies present to the emergency room usually exhausted after efforts of removingothe object at home. Read More

World J Clin Cases 2018 Sep;6(10):384-392

Peritoneal Surface Malignancy and Soft Tissue Sarcoma Program, Messina University Medical School Hospital, Messina 98125, Italy.

The accidental ingestion of a foreign body (FB) is a relatively common condition. In the present study, we report a peculiar case of rectal perforation, the first to our knowledge, caused by the inadvertent ingestion of a blister pill pack. The aim of this report is to illustrate the difficulties of the case from a diagnostic and therapeutic viewpoint as well as its unusual presentation. Read More

J Pediatr Adolesc Gynecol 2018 Dec 21;31(6):640-643. Epub 2018 Jul 21.

Department of Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio; Pediatric and Adolescent Gynecology, Nationwide Children's Hospital, Columbus, Ohio.

Background: Heavy, prolonged menstrual bleeding is common in adolescents and results from a variety of etiologies.

Case: A 13-year-old, virginal girl was referred for prolonged, heavy vaginal bleeding despite combined oral contraceptive use and elected management with a levonorgestrel intrauterine device. A preprocedure exam revealed a plastic foreign body embedded in the posterior vaginal fornix, however, attempted removal in the office was unsuccessful. Read More

J Am Anim Hosp Assoc 2018 Sep/Oct;54(5):e54501. Epub 2018 Jul 24.

From Veterinary Orthopedics and Sports Medicine Group, Annapolis Junction, Maryland.

A 7 yr old spayed female shih tzu was evaluated for anorexia of 4 days duration. Conservative treatment for gastroenteritis had been administered by another veterinarian 2 days before presentation. Abdominal radiography revealed two round, disk-shaped, metallic-opacity foreign objects within the bowel with loss of serosal detail. Read More

Int J Colorectal Dis 2019 Jan 20;34(1):181-183. Epub 2018 Jul 20.

Department of Clinical Science and Education and Department of Surgery, Södersjukhuset, Karolinska Institutet, Stockholm South General Hospital (Södersjukhuset), Sjukhusbacken 10, 118 83, Stockholm, Sweden.

Purpose: Retained foreign rectal objects may require surgical removal. To estimate the magnitude of this problem, we report the incidence and treatment of retained rectal objects at a large emergency hospital, and calculate incidence rates at the national level in Sweden.

Methods: All local patient records during 2009-2017 with the diagnosis foreign body in anus and rectum (ICD-10 T185) were accessed and analyzed retrospectively. Read More

Medicine (Baltimore) 2018 Jul;97(28):e11512

Department of Colorectal Anal Surgery.

Rationale: Rectal foreign bodies are not an uncommon finding in outpatient departments globally. Most such objects are inserted through the anus. Occasionally, a foreign body may be ingested and may successfully pass through the entire gastrointestinal tract and be held up in the rectum. Read More

Niger J Clin Pract 2018 Jun;21(6):721-725

Department of General Surgery, Ondokuz Mayıs University, Samsun, Turkey.

Purpose: Anorectal foreign bodies (AFBs) inserted into anus constitute one of the most important problems needing surgical emergency due to its complications. We describe our experience in the diagnosis and treatment of AFBs retained in the rectosigmoid colon.

Materials And Methods: Between the years 2006 and 2015, a total of 11 patients diagnosed with AFBs were admitted to an emergency room and general surgery clinics. Read More

Case Rep Gastroenterol 2018 Jan-Apr;12(1):189-193. Epub 2018 Apr 26.

Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya, Japan.

Transanal rectal foreign body implies that a foreign body has been inserted transanally due to sexual orientation or other reasons and cannot be removed. Such cases require emergency measures because foreign bodies often present difficulties in manual removal or endoscopic removal and may even require surgery when peritonitis due to gastrointestinal perforation occurs. We report a patient in our hospital who had a rectal foreign body inserted into the deep part of the proctosigmoid that could be removed endoscopically. Read More

Tech Coloproctol 2018 04 3;22(4):313-317. Epub 2018 Apr 3.

Emergency Department, Changhai Hospital, Second Military Medical University, Shanghai, China.

Lancet Gastroenterol Hepatol 2018 04 7;3(4):288. Epub 2018 Mar 7.

Radiology Department, Hospital of Laredo, Laredo, Spain.

Cureus 2018 Jan 5;10(1):e2025. Epub 2018 Jan 5.

Trauma/surgical Critical Care, Robert Packer Hospital/Guthrie Clinic.

Rectal foreign bodies are a common presenting complaint in the emergency department. Anal eroticism is the major reason for the majority of cases of rectal foreign bodies. A high index of suspicion is required to accurately diagnose a rectal foreign body as patients are often embarrassed about their condition and may not present in a timely fashion to be evaluated or volunteer their history. Read More

Case Rep Med 2017 20;2017:8909706. Epub 2017 Dec 20.

General Surgery and Transplantation Unit, Department of Medical and Biological Sciences, University of Udine, Udine, Italy.

Introduction: The incidence of foreign bodies (FBs) in the rectum has recently increased. FB removal by the transanal way or by colonoscopy is generally feasible and only in few cases surgery is strictly necessary. Due to FB dimensions or rectum and colon anatomy, sometimes it may represent a challenge. Read More

J Emerg Med 2018 03;54(3):e49-e51

Department of Pediatrics (Clinical), The Warren Alpert Medical School of Brown University, Hasbro Children's Hospital, Providence, Rhode Island.

Background: Physical findings are rare after anal penetration. Furthermore, children delay in disclosing or are reticent to discuss penetration.

Case Report: A 12-year-old boy presented to medical care multiple times over a several-week period complaining of abdominal pain, bloody diarrhea, and poor appetite. Read More

J Emerg Med 2018 Feb 24;54(2):e23-e25. Epub 2017 Nov 24.

Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, Minnesota.

Background: Rectal foreign bodies are commonly encountered in the emergency department (ED). Three techniques are well described in literature, including using a Foley catheter, "scooping" the object out, or grasping the object directly with ring forceps. We present a novel extraction method for an inflatable foreign body. Read More

BMJ Case Rep 2017 Dec 13;2017. Epub 2017 Dec 13.

Department of Radiology, Northern Lincolnshire and Goole Hospitals NHS Foundation Trust, Scunthorpe, UK.

Colorectal foreign bodies (FBs) are not unheard of in the province of surgery. They are commonly seen in men ranging from 20 to 90 years of age with a bimodal age distribution. A variety of objects have been described and reported in literature. Read More

Case Rep Surg 2017 1;2017:1934787. Epub 2017 Nov 1.

Department of General Surgery, School of Medicine, Texas Tech University, Lubbock, TX 79409, USA.

This is a case report of foreign body ingestion in a 55-year-old intellectually disabled man with a history of pica and previous removal of ten plastic gloves from his rectum four months prior to this presentation. The patient presented after ingesting plastic gloves which formed large, rigid esophageal and gastric bezoars that were not amenable to endoscopic removal. An exploratory laparotomy and gastrostomy was performed, and a 10 × 4. Read More

Gastrointest Endosc 2018 Mar 6;87(3):897-899. Epub 2017 Oct 6.

Division of Gastroenterology, The Ottawa Hospital, Ottawa, Ontario, Canada.

Surg Today 2018 Feb 8;48(2):167-174. Epub 2017 Jul 8.

Second Department of Surgery, School of Medicine, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.

Purpose: Internal stents used during pancreaticoduodenectomy (PD) are generally spontaneously passed through the rectum by defecation. However, we encountered six patients with internal stents that migrated into the bile duct after PD. We herein report the outcomes of these six patients and the usefulness of double-balloon enteroscopy (DBE) for removal of such stents from the bile duct. Read More

Ann R Coll Surg Engl 2017 Jul;99(6):e191-e192

Department of Surgery and Transplantation, University Hospital RWTH-Aachen , Aachen , Germany.

Rectal foreign body insertion is a common condition in emergency surgery, which often requires surgical intervention. Here we report a clinical case of rectal foreign body insertion as a rare cause of persistent lumbosacral plexus injury. A 72-year-old man presented to the emergency department complaining of acute bilateral paraplegia with loss of sensation in both legs, as well as total urinary retention. Read More

BMJ Case Rep 2017 Jun 2;2017. Epub 2017 Jun 2.

Universita degli Studi di Milano, Biomedical Sciences for Health, Milano, Italy.

Retained rectal foreign bodies are increasingly reported in current clinical practice, and there is no clear consensus in the literature as to whether transanal extraction should be performed in the emergency or in the operating room. A 47-year-old presented to the hospital for a retained drinking glass in the rectum that was broken after an attempt at self-extraction. Physical examination showed no evidence of abdominal guarding nor bleeding from the rectum; abdominal and pelvic X-rays confirmed the presence of a broken glass, 8×6 cm in size and no signs of perforation. Read More

J Minim Invasive Gynecol 2017 Nov - Dec;24(7):1079-1080. Epub 2017 Apr 8.

Department of Obstetrics and Gynecology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Study Objective: To show a new technique of using single-incision laparoscopic surgery (SILS) equipment in vaginal surgery to create a "pneumovagina."

Design: Explanatory video demonstrating the technique and intraoperative findings.

Setting: University hospital. Read More

Case Rep Gastroenterol 2016 Sep-Dec;10(3):646-652. Epub 2016 Nov 7.

Department of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Japan.

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. Read More

Am J Mens Health 2017 05 29;11(3):684-692. Epub 2016 Nov 29.

1 The University of the West Indies, St. Augustine, Trinidad and Tobago.

Few authors have proposed therapeutic protocols to manage retained rectal foreign bodies (RFBs). All patients with retained RFBs in hospitals across Trinidad and Tobago over 5 years were identified. Hospital records were retrieved and manually reviewed to extract the following data: demographics, history, foreign body retrieved, clinical signs at presentation, management strategy, duration of hospitalization, and morbidity and mortality. Read More

J Family Med Prim Care 2016 Apr-Jun;5(2):495-497

Department of Emergency Medicine, Government Medical College, Surat, Gujarat, India.

Foreign body (FB) within the rectum occurs infrequently and its management is challenging for the emergency physicians due to variation in type of objects, host anatomy, time of insertion, and amount of local contamination. Usually, the presentation is late after multiple unsuccessful attempts for the removal of the FB by patients themselves at home. We report a 50-year-old male patient presented to the emergency department with an FB in the rectum (iron rod) introduced as sexual perversion. Read More

Khirurgiia (Mosk) 2016(9):57-63

Pavlov Ryazan State Medical University, Health Ministry of the Russian Federation ,Regional Clinical Hospital, Ryazan, Russia.

Aim: to present the results of treatment of rectal foreign bodies.

Material And Methods: 15-year outcomes of 112 patients with rectal foreign bodies were analyzed.

Results: Outpatient and hospital care were applied in 52 (46%) and 60 (54%) of cases respectively. Read More

Endoscopy 2016 4;48 Suppl 1:E259-60. Epub 2016 Aug 4.

Department of Surgery of Colon and Rectum, Hospital Felicio Rocho, Belo Horizonte, Minas Gerais, Brazil.

Emerg Med Australas 2016 Aug 23;28(4):459-61. Epub 2016 Jun 23.

Emergency Department, St Vincent's Hospital, Sydney, New South Wales, Australia.

Am J Gastroenterol 2016 Mar;111(3):309

KDC Hospital, Kozhikode, Kerala, India.

Indian J Surg 2015 Dec 11;77(Suppl 3):1417. Epub 2014 Oct 11.

Unit of General and Emergency Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24128 Bergamo, Italy.

A voluminous radiopaque foreign body (7 cm in diameter bowl) in the rectum of a 45-year-old male patient was removed uneventfully by a transanal approach with an obstetric forceps. Read More

Endoscopy 2016 23;48 Suppl 1:E107-8. Epub 2016 Mar 23.

Division of Gastroenterology and Hepatology, University of Virginia Health System, Charlottesville, Virginia, USA.

World J Gastroenterol 2016 Mar;22(10):3052-5

Woo Young Shin, Chan Hyuk Im, Sun Keun Choi, Yun-Mee Choe, Kyung Rae Kim, Department of Surgery, Inha University Hospital, Inha University College of Medicine, Incheon 400-711, South Korea.

Gossypiboma is a surgical sponge that is retained in the body after the operation. A 39-year-old female presented with vague lower abdominal pain, fever, and rectal discharge 15 mo after hysterectomy. The sponge remaining in the abdomen had no radiopaque marker. Read More

Intest Res 2015 Oct 15;13(4):355-9. Epub 2015 Oct 15.

Department of Internal Medicine, The Catholic University of Korea, Incheon St.Mary's Hospital, Incheon, Korea.

The incidence of rectal foreign bodies is increasing by the day, though not as common as that of upper gastrointestinal foreign bodies. Various methods for removal of foreign bodies have been reported. Removal during endoscopy using endoscopic devices is simple and safe, but if the foreign body is too large to be removed by this method, other methods are required. Read More

J Clin Diagn Res 2015 Sep 1;9(9):PD28-9. Epub 2015 Sep 1.

Professor, Department of Physiology, M.M Medical College , Mullana, Ambala, India .

Foreign bodies are encountered on day to day basis by a surgeon. Usually foreign bodies are lodged in narrow cavities of the body and the common age group is in children. They may range from foreign bodies in ear, nose, cricopharynx and even in rectum. Read More

Clin Colon Rectal Surg 2015 Sep;28(3):176-80

Center for Colon and Rectal Surgery, Florida Hospital, Orlando, Florida.

Transanal minimally invasive surgery (TAMIS) was first described in 2010 as a crossover between single-incision laparoscopic surgery and transanal endoscopic microsurgery (TEM) to allow access to the proximal and mid-rectum for resection of benign and early-stage malignant rectal lesions. The TAMIS technique can also be used for noncurative intent surgery of more advanced lesions in patients who are not candidates for radical surgery. Proper workup and staging should be done before surgical decision-making. Read More

Int J Surg Case Rep 2015 14;15:96-8. Epub 2015 Aug 14.

Consultant Surgeon and Senior Lecturer in Surgery, Mater Misericordiae University Hospital, Eccles Street, Dublin, Ireland. Electronic address:

Introduction: Phallic objects may cause large bowel obstruction if not promptly removed. A bi-manual technique with the aid of a Magill's forceps is presented here.

Presentation Of Case: A 68-year-old man presented to the emergency department with severe lower abdominal discomfort, distension and inability to pass urine, flatus or bowel motions. Read More

Int J Surg 2015 Aug 26;20:145-8. Epub 2015 Jun 26.

Department of Gastrointestinal Surgery, G B Pant Institute of Post Graduate Medical Education and Research and Maulana Azad Medical College, New Delhi, India.

Introduction: Mesh rectopexy for complete rectal prolapse is associated with complications such as fecal impaction, constipation and rarely recurrence. Mesh erosion following rectopexy is rare. We report three such cases managed successfully in our unit. Read More

Turk J Gastroenterol 2015 Jan;26(1):82-4

Department of Gastroenterology, Başkent University Faculty of Medicine, Konya, Turkey.

BMJ Case Rep 2014 Dec 15;2014. Epub 2014 Dec 15.

Department of Gastroenterological Surgery, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey.

Endoscopically placed bile duct stents are commonly used to relieve obstruction in patients with benign or malignant biliary disease. These stents may become dislodged and migrate in about 5-10% of patients. Distally migrated stents can be managed expectantly, allowing the foreign body to pass through the rectum. Read More

Endoscopy 2014 19;46 Suppl 1 UCTN:E549. Epub 2014 Nov 19.

Diskapi Yildirim Beyazit Education and Research Hospital, Gastroenterology, Ankara, Turkey.

East Afr Med J 2014 Nov;91(11):427-9

Foreign bodies within the rectum are an infrequent occurrence with a wide variety of objects either inserted or swallowed. Many techniques of removal have been described to remove these objects in case series mainly in developed countries. We report a case of unusually large rectal foreign body we managed by sigmoidotomy with primary closure. Read More

Turk J Gastroenterol 2014 Aug;25(4):442-3

Department of Surgery, Haseki Training and Research Hospital, İstanbul, Turkey.

Ann R Coll Surg Engl 2014 Oct;96(7):553-4

Homerton University Hospital NHS Foundation Trust, UK.

Surg Endosc 2015 May 23;29(5):1175-8. Epub 2014 Aug 23.

Digestive Endoscopy Unit, Baggiovara Hospital, Viale Giardini 1355, 41100, Modena, Italy,

Background: Some patients with benign colorectal obstruction do not respond to endoscopic balloon dilation. Fully covered self-expandable metal stents (FCSEMSs) have several potential advantages over non-covered stents, including a higher likelihood of retrieval owing to limited local tissue reaction. However, the efficacy and safety of FCSEMSs in benign colorectal strictures have not yet been established. Read More

J Surg Case Rep 2014 Mar 20;2014(3). Epub 2014 Mar 20.

General Surgery Department, CHR Metz-Thionville, Bel-Air Hospital, Thionville, France.

A foreign body in the rectum is not a very common surgical emergency case. In the treatment of rectal foreign bodies, the aim is to use the simplest possible method while protecting the integrity of the intestine. Many removal techniques have been described in the literature. Read More

Colorectal Dis 2013 Dec;15(12):e760-5

Clinic of Urology, Pediatric Urology and Andrology, Justus-Liebig-University, Giessen, Germany.

Aim: We describe the technique of tissue fixation system (TFS) perineal body repair in patients presenting with symptomatic third degree rectocele.

Method: The single sling TFS perineal body repair is performed in three surgical steps: (i) dissection of the rectum off the vagina and laterally displaced perineal body; (ii) identification of the deep transverse perineii muscles beyond their insertion point behind the descending pubic ramus; (iii) elevation and approximation of the separated and laterally displaced perineal bodies by insertion, without tension, of non-stretch 7 mm polypropylene tape into the bodies of the deep transverse perineii muscles.

Results: From January 2007 to December 2009 we performed the TFS operation for 30 women, median age 61 (range 47-87) years, mean parity 2. Read More

J Pediatr Gastroenterol Nutr 2013 Jul;57(1):14-7

Boston Children's Hospital, Boston, MA 02115, USA.

Background And Objective: The ingestion of multiple magnets simultaneously or the placement of magnets in both nares can lead to serious injury resulting from the attraction of the magnets across the tissues. The impact of mandatory standards for toys containing magnets has not been thoroughly investigated. The aim of the present study was to describe the emergency department (ED) visit rate for magnet-related injuries. Read More

JSLS 2013 Apr-Jun;17(2):342-5

Department of Surgery, University of Medicine and Dentistry of New Jersey, Stratford, NJ, USA.

Introduction: The impacted rectal foreign body often poses a management challenge. Ideally, such objects are removed in the emergency department utilizing a combination of local anesthesia, sedation, minimal instrumentation, and manual extraction. In some instances, simple manual extraction is unsuccessful and general anesthesia may be necessary. Read More

J Clin Neurosci 2013 Oct 7;20(10):1452-3. Epub 2013 May 7.

Department of Orthopaedic Surgery, Duke University Medical Center, 200 Trent Drive, 5309 Duke Clinic Building, Durham, NC 27710, USA.

Harrington rods have been successfully implanted in thousands of patients for the correction of scoliotic deformity since the 1950s. An exceedingly rare complication of Harrington rod placement is loosening with resultant migration. The authors present a 50-year-old woman who had a single Harrington rod placed when she was 15 years old. Read More

World J Emerg Surg 2013 Mar 13;8(1):11. Epub 2013 Mar 13.

Izmir Training and Research Hospital, Department of Surgery, Mithatpasa Cad, 964, Goztepe-Izmir, Turkey.

Background: Entrapped anorectal foreign bodies are being encountered more frequently in clinical practice. Although entrapped foreign bodies are most often related to sexual behavior, they can also result from ingestion or sexual assault.

Methods: Between 1999 and 2009, 15 patients with foreign bodies in the rectum were diagnosed and treated, at Izmir Training and Research Hospital, in Izmir. Read More

Pan Afr Med J 2012 20;13:59. Epub 2012 Nov 20.

PSRMMC, Riyadh, Saudi Arabia.

We describe a case of unusual gastric band migration outcome. A 54 years old female was submitted to laparoscopic adjustable gastric band in September 2001. In September 2009 she developed access-port infection which needed drainage and access-port removal. Read More