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Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire

Year 2023, Volume: 2 Issue: 2, 110 - 112, 19.06.2023
https://doi.org/10.57221/izmirtip.1222033

Abstract

Aim: The most common cause of rectal foreign bodies are objects used for sexual stimulation voluntarily by the patient. Different treatment methods are reported in the literature, and this article reports the transanal removal of the foreign body in the rectum with a snare wire without anesthesia, accompanied by colonoscopy. Case: An 80-year-old male patient was admitted to the emergency room because of the plastic rectal shower head that remained in the rectum and could not be removed while he was using a rectal douche for constipation. Contrast-enhanced abdominal computed tomograpyh (CT) showed a foreign body located in the rectosigmoid region without perforation findings. 12x1,5 cm tubular, well-circumscribed plastic foreign body embedded in the stool was removed with the help of colonoscopy in a controlled manner by holding it from its distal end with the help of endoscopic snare wire. Conclusion: Rectal foreign bodies can often be removed by the patient. However, in cases of foreign bodies in the rectum admitted to the hospital, the treatment method varies according to the type and location of the object, the occurrence of the event, and whether there are perforation findings in physical examination and imaging. Digital rectal examination is the critical first step in evaluating a patient with a rectal foreign body. Bedside extraction as the first-line treatment for low-lying anorectal foreign bodies without signs of perforation; endoscopic extraction is recommended as the first step in anorectal foreign bodies located high above the rectosigmoid junction. Because in cases without perforation, transanal removal of the foreign body is considered the first-line treatment and the success rate is approximately 75 %. The most essential condition for successful transanal removal of the foreign body in the rectum is the relaxation of the patient. Endoscopic examination is also recommended to evaluate the condition of the intestinal wall after the removal of the foreign body. In our case, we also removed the foreign body, which we found to be located in the middle rectum, in accordance with the literature, endoscopically.

References

  • Referans1. Sei H, Tomita T, Nakai K, Nakamura K, Tamura A, Ohda Y et al. Rectal foreign body of eggplant treated successfully by endoscopic transanal removal. Case Rep Gastroenterol. 2018;12:189-93.
  • Referans2. Cologne KG, Ault GT. Rectal foreign bodies: what is the current standard?. Clin Colon Rectal Surg. 2012;25:214-8. Referans3. Ayantunde AA. Approach to the diagnosis and management of retained rectal foreign bodies: clinical update. Tech Coloproctol. 2013;17:13-20.
  • Referans4. Ng CY, Hayati F, Ali AA, Che Ani MF, Zakaria DA. Rectal foreign bodies: sexual gratification turned misery. Brunei Int Med J. 2020;16:73-6.
  • Referans5. Goldberg JE, Steele SR. Rectal foreign bodies. Surg Clin North Am. 2010; 90:173-84.
  • Referans6. Anderson KL, Dean AJ. Foreign bodies in the gastrointestinal tract and anorectal emergencies. Emerg. Med. Clin. North Am. 2011;29:369-400.
  • Referans7. Son MY, Park SJ, Moon W, Oh GM, Park MI, Kim SE, et al. Endoscopy-assisted removal of a large rectal foreign body by the valsalva maneuver. Korean J Gastroenterol. 2020;76:42-5.
  • Referans8.Tarasconi A, Perrone G, Davies J, Coimbra R, Moore E, Azzaroli F et al. Anorectal emergencies: WSES-AAST guidelines. World J Emerg Surg. 2021;16:48.
  • Referans9. Lake JP, Essani R, Petrone P, Kaiser AM, Asensio J, Beart RW Jr. Management of retained colorectal foreign bodies: predictors of operative intervention. Dis Colon Rectum. 2004;47:1694-8.

Kolonoskopik Snare Teli ile Başarıyla Çıkartılan Rektal Yabancı Cisim

Year 2023, Volume: 2 Issue: 2, 110 - 112, 19.06.2023
https://doi.org/10.57221/izmirtip.1222033

Abstract

Amaç: Rektal yabancı cisimlerin en sık nedeni, hasta tarafından istemli olarak cinsel uyarım için kullanılan nesnelerdir. Literatürde farklı tedavi yöntemleri bildirilmiştir ve bu makalede rektumdaki yabancı cismin kolonoskopi eşliğinde anestezi uygulanmadan snare teli ile transanal olarak çıkarılması bildirilmektedir. Olgu: Seksen yaşında erkek hasta, kabızlık için rektal duş kullanırken rektumda kalan ve çıkarılamayan plastik rektal duş başlığı nedeniyle acil servise başvurdu. Kontrastlı abdominal bilgisayarlı tomografide (BT) rektosigmoid bölgede perforasyon bulgusu olmayan bir yabancı cisim görüldü. Dışkı içine gömülü 12x1,5 cm boyutlarında tübüler, iyi sınırlı plastik yabancı cisim endoskopik snare teli yardımıyla distal ucundan tutularak kontrollü bir şekilde kolonoskopi yardımıyla çıkarıldı. Sonuç: Rektal yabancı cisimler sıklıkla hasta tarafından çıkarılabilir ancak hastaneye başvuran rektumda yabancı cisim vakalarında tedavi yöntemi cismin cinsine, yerine, olayın oluş şekline, fizik muayene ve görüntülemede perforasyon bulgusu olup olmamasına göre değişir. Dijital rektal muayene rektal yabancı cismi olan bir hastanın değerlendirilmesinde kritik ilk adımdır. Perforasyon bulgusu olmayan distal yerleşimli anorektal yabancı cisimlerde ilk basamak tedavi olarak yatak başı ekstraksiyon; rektosigmoid bileşkenin üzerinde proksimal yerleşimli anorektal yabancı cisimlerde ise ilk basamak olarak endoskopik ekstraksiyon önerilmektedir. Çünkü perforasyon olmayan olgularda yabancı cismin transanal yolla çıkarılması ilk basamak tedavi olarak kabul edilir ve başarı oranı yaklaşık %75'tir. Rektumdaki yabancı cismin başarılı bir şekilde transanal olarak çıkarılması için en temel koşul hastanın rahat olmasıdır. Yabancı cismin çıkarılmasından sonra bağırsak duvarının durumunu değerlendirmek için endoskopik muayene de önerilmektedir. Biz de olgumuzda orta rektumda yerleştiğini tespit ettiğimiz yabancı cismi literatüre uygun olarak endoskopik olarak çıkardık.

References

  • Referans1. Sei H, Tomita T, Nakai K, Nakamura K, Tamura A, Ohda Y et al. Rectal foreign body of eggplant treated successfully by endoscopic transanal removal. Case Rep Gastroenterol. 2018;12:189-93.
  • Referans2. Cologne KG, Ault GT. Rectal foreign bodies: what is the current standard?. Clin Colon Rectal Surg. 2012;25:214-8. Referans3. Ayantunde AA. Approach to the diagnosis and management of retained rectal foreign bodies: clinical update. Tech Coloproctol. 2013;17:13-20.
  • Referans4. Ng CY, Hayati F, Ali AA, Che Ani MF, Zakaria DA. Rectal foreign bodies: sexual gratification turned misery. Brunei Int Med J. 2020;16:73-6.
  • Referans5. Goldberg JE, Steele SR. Rectal foreign bodies. Surg Clin North Am. 2010; 90:173-84.
  • Referans6. Anderson KL, Dean AJ. Foreign bodies in the gastrointestinal tract and anorectal emergencies. Emerg. Med. Clin. North Am. 2011;29:369-400.
  • Referans7. Son MY, Park SJ, Moon W, Oh GM, Park MI, Kim SE, et al. Endoscopy-assisted removal of a large rectal foreign body by the valsalva maneuver. Korean J Gastroenterol. 2020;76:42-5.
  • Referans8.Tarasconi A, Perrone G, Davies J, Coimbra R, Moore E, Azzaroli F et al. Anorectal emergencies: WSES-AAST guidelines. World J Emerg Surg. 2021;16:48.
  • Referans9. Lake JP, Essani R, Petrone P, Kaiser AM, Asensio J, Beart RW Jr. Management of retained colorectal foreign bodies: predictors of operative intervention. Dis Colon Rectum. 2004;47:1694-8.
There are 8 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Reports
Authors

Muhammed Alperen Taş 0000-0002-4060-121X

Burak Can 0000-0001-7666-7205

Ali Cihat Yıldırım 0000-0001-5379-2804

Publication Date June 19, 2023
Submission Date December 20, 2022
Published in Issue Year 2023 Volume: 2 Issue: 2

Cite

APA Taş, M. A., Can, B., & Yıldırım, A. C. (2023). Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire. İzmir Tıp Fakültesi Dergisi, 2(2), 110-112. https://doi.org/10.57221/izmirtip.1222033
AMA Taş MA, Can B, Yıldırım AC. Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire. İzmir Tıp Fak. Derg. June 2023;2(2):110-112. doi:10.57221/izmirtip.1222033
Chicago Taş, Muhammed Alperen, Burak Can, and Ali Cihat Yıldırım. “Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire”. İzmir Tıp Fakültesi Dergisi 2, no. 2 (June 2023): 110-12. https://doi.org/10.57221/izmirtip.1222033.
EndNote Taş MA, Can B, Yıldırım AC (June 1, 2023) Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire. İzmir Tıp Fakültesi Dergisi 2 2 110–112.
IEEE M. A. Taş, B. Can, and A. C. Yıldırım, “Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire”, İzmir Tıp Fak. Derg., vol. 2, no. 2, pp. 110–112, 2023, doi: 10.57221/izmirtip.1222033.
ISNAD Taş, Muhammed Alperen et al. “Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire”. İzmir Tıp Fakültesi Dergisi 2/2 (June 2023), 110-112. https://doi.org/10.57221/izmirtip.1222033.
JAMA Taş MA, Can B, Yıldırım AC. Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire. İzmir Tıp Fak. Derg. 2023;2:110–112.
MLA Taş, Muhammed Alperen et al. “Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire”. İzmir Tıp Fakültesi Dergisi, vol. 2, no. 2, 2023, pp. 110-2, doi:10.57221/izmirtip.1222033.
Vancouver Taş MA, Can B, Yıldırım AC. Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire. İzmir Tıp Fak. Derg. 2023;2(2):110-2.