People's Journal of Scientific Research
Published December 1, 2014 | Version v1
Journal article Open

Retained Rectal Foreign Body and its Management Protocol

Authors/Creators

  • 1. Department of General Surgery, Rajarajeshwari Medical College and Hospital, Bangalore

Description

Rectal foreign body is no longer a medical oddity. It is encountered often in the surgical practice. Anorectal eroticism with a wide variety of phallic substitutes comprises most of the cases. The presence of such a foreign body in the rectum has always been a challenge to the surgeons taking care of these patients. Numerous ingenious approaches have been devised to remove these impacted objects. Diagnosis of rectal foreign bodies is usually made by history, digital examination of the rectum, endoscopy and radiography. Majority of the cases are treated by transanal retrieval. Laparotomy is only required in impacted foreign body and/ or with perforation peritonitis. We are reporting a case of trans-anal introduction of a steel tumbler into the rectum by a patient who was eventually diagnosed as ‘Behavioural Problem with Borderline Intelligence’. The management of retained rectal foreign body has also been shown herein as a simple flow diagram.

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