Nesemann Samuel, Hubbard Kimberly A, Siddiqui Mehdi I, Fernandez William G
University of Texas Health San Antonio, Department of Emergency Medicine, San Antonio, Texas.
University of Texas Health San Antonio Long School of Medicine, Department of Emergency Medicine, San Antonio, Texas.
Clin Pract Cases Emerg Med. 2020 Aug;4(3):450-453. doi: 10.5811/cpcem.2020.7.47237.
Rectal foreign bodies (RFB) pose a challenge to emergency physicians. Patients are not often forthcoming, which can lead to delays to intervention. Thus, RFBs require a heightened clinical suspicion. In the emergency department (ED), extraction may require creative methods to prevent need for surgical intervention.
The authors present a case of a successful extraction of a RFB in the ED and review of the literature.
Retained RFBs are an unusually problematic reason for an ED visit. Thus, it is important for emergency physicians to be comfortable managing such cases appropriately.
直肠异物对急诊医生来说是一项挑战。患者往往不会主动说出情况,这可能导致干预延迟。因此,对于直肠异物需要提高临床怀疑度。在急诊科,取出异物可能需要采用创造性的方法以避免手术干预的必要性。
作者介绍了一例在急诊科成功取出直肠异物的病例并进行文献回顾。
直肠异物残留是急诊就诊的一个异常棘手的原因。因此,急诊医生能够妥善处理此类病例非常重要。