Ozbilgin Mücahit, Arslan Baha, Yakut Mehmet Can, Aksoy Süleyman Ozkan, Terzi Mustafa Cem
Dokuz Eylül University Faculty of Medicine, Department of General Surgery, İzmir, Turkey.
Kemalpasa State Hospital, General Surgery, Izmir, Turkey.
Int J Surg Case Rep. 2015;6C:210-3. doi: 10.1016/j.ijscr.2014.11.053. Epub 2014 Nov 24.
Rectal foreign bodies are rare colorectal emergencies. They are important for the complications that may occur. Delayed response causes a wide range of complications or may even result in death.
A 22 years old male patient was seen at our hospital with anal pain, discharge, and complaining of incontinence. The patient stated that a bottle of beverage was placed into his anal canal in an inverted manner for sexual satisfaction 5 years previously.
After clinical and radiological assessment under general anaesthesia in the lithotomy position the object was removed by a laparotomy. He was advised to seek legal help and he received psychiatric treatment in the postoperative period prior to his discharge.
Complications such as abscess, perianal fistula complicated by severe pelvic sepsis and osteomyelitis were expected complications in this case. As in this case, a surgical approach may eliminate dissection planes, increasing morbidity and mortality related to the injuring of surrounding bodies during object extraction.
直肠异物是罕见的结直肠急症。它们因可能引发的并发症而备受关注。反应延迟会导致一系列并发症,甚至可能导致死亡。
一名22岁男性患者因肛门疼痛、有分泌物并伴有失禁症状前来我院就诊。患者称,5年前为了获得性满足,将一瓶饮料倒置插入其肛管。
在全身麻醉下采取截石位进行临床和影像学评估后,通过剖腹手术取出了异物。建议他寻求法律帮助,出院前在术后接受了精神科治疗。
脓肿、肛周瘘合并严重盆腔感染和骨髓炎等并发症是该病例可能出现的预期并发症。正如本病例所示,手术方法可能会消除解剖层面,增加在取出异物过程中因损伤周围组织而导致的发病率和死亡率。