Lefcourt Terry, Ku Andrew, Issagholian Leo, Neeki Arianna S, Retamozo Milton, Dong Fanglong, Neeki Michael M
Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.
Neurosurgery, California University of Science and Medicine, Colton, USA.
Cureus. 2021 Dec 6;13(12):e20217. doi: 10.7759/cureus.20217. eCollection 2021 Dec.
Rectal foreign bodies (RFBs) present unique challenges to the emergency physician. Failure to emergently remove the RFB may lead to additional intraoperative procedures with increased likelihood of complications. We present a case of retained RFB in the emergency department, in which the usual standard approaches to transanal removal had failed. A last-ditch effort by utilizing a Foley catheter inside the object rather than around it led to the successful removal of the RFB. An intense review of the literature highlights the importance of using various novel applications of a Foley catheter to consider cases of RFBs.
直肠异物给急诊医生带来了独特的挑战。未能及时取出直肠异物可能导致额外的术中操作，增加并发症的发生几率。我们报告一例在急诊科滞留直肠异物的病例，常规经肛门取出方法均告失败。最后通过将Foley导管置于异物内部而非周围进行尝试，成功取出了直肠异物。对文献的深入回顾凸显了在处理直肠异物病例时采用Foley导管各种新颖应用方法的重要性。
