DOI: http://dx.doi.org/10.18203/2349-2902.isj20213621

Rectal perforation caused by a self-inserted foreign body: a case report

R. Sanjay, Rajendra Bargee, Pradeep Panwar, Prashant Kumar

Abstract


Rectal foreign bodies have a storied history as a part of anorectal trauma. Objects encountered are most commonly household objects consisting of bottles and glasses. Other objects include tooth brushes, deodorant bottles, food articles, knives, sports equipment, cell phones, flash lights, wooden rods, broom sticks, sex toys including dildos and vibrators, light bulbs, nails, or other construction tools, christmas ornaments, aerosol canisters, cocaine packets, and many more. The reasons for insertion in decreasing order of frequency are autoeroticism, concealment, attention-seeking behavior, accidental, assault and to alleviate constipation. Here we presented a case of 32 years old presented to the ER with complaints of pain in lower abdomen and anal region for 12 hours. He complained of severe pain when he tried to defecate. He gave history of self-insertion of an empty drug vial into his rectum. Rectal foreign bodies represent a challenging and unique field of colorectal trauma. The important factors in dealing with these patients are careful history and physical examination. Patients are often embarrassed about this condition and may conceal the truth. So, a high index of suspicion is required to accurately diagnose.


Keywords


Rectal foreign bodies, Rectal perforation peritonitis, Rectal trauma

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References


Kurer MA, Davey C, Khan S, Chintapatla S. Colorectal foreign bodies: a systematic review. Colorectal Dis. 2010;12(9):851-61.

Ooi BS, Ho YH, Eu KW, Nyam D, Leong A, Choen F. Management of anorectal foreign bodies: a cause of obscure anal pain. Aust N Z J Surg. 1998;68(12):852-5.

Hermosa JI, Cazador A, Ruiz B, Sirvent JM, Roig J, Farres R. Management of foreign bodies in the rectum. Colorectal Dis. 2007;9(6):543-8.

Clarke DL, Buccimazza I, Anderson FA, Thomson SR. Colorectal foreign bodies. Colorectal Dis. 2005;7(1):98-103.

Goldberg JE, Steele SR. Rectal foreign bodies. Surg Clin North Am. 2010;90(1):173-84.

Lake JP, Essani R, Petrone P, Kaiser AM, Asensio J, Beart RW. Management of retained colorectal foreign bodies: predictors of operative intervention. Dis Colon Rectum. 2004;47(10):1694-8.

Crass RA, Tranbaugh RF, Kudsk KA, Trunkey DD. Colorectal foreign bodies and perforation. Am J Surg. 1981;142(1):85-8.

Moore EE, Cogbill TH, Malangoni MA, Jurkovich GJ, Champion HR, Gennarelli TA, et al. Organ injury scaling, II: Pancreas, duodenum, small bowel, colon, and rectum. J Trauma. 1990;30(11):1427-9.

Barone JE, Yee J, Nealon TF. Management of foreign bodies and trauma of the rectum. Surg Gynecol Obstet. 1983;156(4):453-7.

Cohen JS, Sackier JM. Management of colorectal foreign bodies. J R Coll Surg Edinb. 1996;41(5):312-5.

Sharma H, Banka S, Walton R, Memon MA. A novel technique for nonoperative removal of round rectal foreign bodies. Tech Coloproctol. 2007;11(1):58-9.

Billi P, Bassi M, Ferrara F, Biscardi A, Villani S, Baldoni F, et al. Endoscopic removal of a large rectal foreign body using a large balloon dilator: report of a case and description of the technique. Endoscopy. 2010;42(2):238.

Berghoff KR, Franklin ME. Laparoscopic-assisted rectal foreign body removal: report of a case. Dis Colon Rectum. 2005;48(10):1975-7.

Demetriades D, Murray JA, Chan L, Committee on Multicenter Clinical Trials, American Association for the Surgery of Trauma. Penetrating colon injuries requiring resection: diversion or pri- mary anastomosis? An AAST prospective multicenter study. J Trauma 2001;50(5):765-5.

Herr MW, Gagliano RA. Historical perspective and current management of colonic and intraperitoneal rectal trauma. Curr Surg. 2005;62(2):187-92.