Rectal Foreign Body Removal: A Systematic Review of Interventions

Zavaleta-Corvera C.; Caballero-Alvarado J.; Muente-Alva L.; Pozzuoli G.; Saldaña P.S. · Surgical Chronicles (2023)

Resumen

Hospital admission of patients presenting foreign bodies in the rectum is a challenge for the emergency physician or surgeon, due to the variety of objects and the difficulty of extraction. Most of the time, the introduction of the foreign body through the trans anal route is done for sexual satisfaction and the patient seeks medical attention after failed extraction attempts. These cases require diagnostic strategies, both clinical and imaging approaches to determine the type and size of the foreign body, the rectal lodging, and the possible perforation of the rectus sigmoid; with all this information either manual, endoscopic, or surgical removal can be considered. We report the case of a 42-year-old man, who went to the emergency room because of a plastic-lined and lubricated flashlight that he inserted into his rectum to feel pleasure; however, he could not remove it on his own. This paper seeks to review through a case presentation the current evidence available and offers recommendations for changes to surgical practice to minimize the complications.

Instituciones: Universidad Privada Antenor Orrego