Rectal foreign body

Case contributed by A.Prof Frank Gaillard

Presentation

Abdominal discomfort.

Patient Data

Gender: Male
X-ray

Foreign body (aerosol can) projects over the pelvis. There is no evidence of perforation or obstruction. 

Case Discussion

The patient was taken to operating room within 12 hours of presentation, with consent for colostomy. Under general anaesthesia in the lithotomy position, dilatation of anal sphincter was performed and per rectum retrieval successful.

These patients typically have a delayed presentation to the emergency department because of embarrassment and after multiple attempts at self removal. Respect for their privacy is a key factor in the patient’s care plan. ED physicians need to decide if removal of foreign body can be performed in the emergency department or surgical team to be notified. Operating room procedures include anal dilatation under GA, transrectal manipulation, bimanual palpation if necessary and withdrawal of foreign body. Laparotomy or laparoscopy are occasionally necessary.

Credit: Andrew Roshan.

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Case information

rID: 35956
Case created: 24th Apr 2015
Last edited: 27th Sep 2016
Inclusion in quiz mode: Included

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