Thomas Joel, Maheshwari Sagar, Sallam Ahmed
Radiology, Barking, Havering and Redbridge University Hospitals NHS Trust, London, GBR.
Internal Medicine, Leicester Royal Infirmary, Leicester, GBR.
Cureus. 2021 Nov 18;13(11):e19697. doi: 10.7759/cureus.19697. eCollection 2021 Nov.
Foreign body insertion in the rectum is not a very common presentation in the emergency department but this is common among individuals with a history of self-harm, personality disorders, and other psychosomatic illnesses. It is often diagnosed on abdominal x-rays; however, a CT scan of the abdomen and pelvis may be warranted when perforation is suspected. To diagnose an anorectal foreign body, clinicians must maintain a high level of suspicion. Because of embarrassment or maybe psychological concerns, the patient may not be ready to share all the information. Healthcare providers must hence show empathy and compassion while being calm and non-judgmental. Here, we present a case of an 80-year-old male who underwent a laparotomy for removal of a large foreign body that was inserted in the rectum and caused a gastrointestinal perforation.
直肠异物插入在急诊科并非常见病例，但在有自残史、人格障碍及其他身心疾病的人群中较为常见。通常通过腹部X光进行诊断；然而，当怀疑有穿孔时，可能需要进行腹部和骨盆的CT扫描。为诊断肛门直肠异物，临床医生必须保持高度怀疑。由于尴尬或可能的心理因素，患者可能不愿透露所有信息。因此，医护人员必须表现出同理心和同情心，同时保持冷静且不评判。在此，我们报告一例80岁男性患者，因直肠插入一个大型异物并导致胃肠道穿孔而接受剖腹手术取出异物的病例。
