Feigelson Suzanne, Maun Dipen, Silverberg Daniel, Menes Tehillah
Department of Surgery, Elmhurst Hospital, New York, New York, USA.
Am Surg. 2007 Mar;73(3):304-6.
Reports of retained rectal foreign bodies are increasingly common worldwide. It is likely that any surgeon practicing at a major medical center will encounter this type of case, and thus, should be familiar with both surgical and nonsurgical management options. The diagnosis is usually easy to confirm with a thorough history and physical exam and plain abdominal films. Low-lying objects can usually be extracted in the emergency room transanally, whereas high-lying foreign bodies may require anesthesia and laparotomy. We report an experience using an obstetric vacuum device to extract a high-lying foreign body from the rectum.
直肠异物残留的报告在全球范围内越来越普遍。任何在大型医疗中心执业的外科医生都有可能遇到这类病例,因此,应该熟悉手术和非手术的处理方法。通过详细的病史、体格检查和平片通常很容易确诊。低位异物通常可在急诊室经肛门取出,而高位异物可能需要麻醉和剖腹手术。我们报告了使用产科真空吸引装置从直肠取出高位异物的经验。