Shankarapur Hospital Pvt. Ltd, Gokarneshwor, Kathmandu, Nepal.
Nepal Medical College and Teaching Hospital, Jorpati, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Dec 1;60(256):1049-1051. doi: 10.31729/jnma.7905.
The rectal foreign body is a rare presentation, often related to sexual gratification, sexual assault, or the result of ingestion and rarely accidental, and with rising incidence. We present a case of a 47-year-old heterosexual male with an alleged history of accidental insertion of a foreign body through the anus three days prior without peritonitis or obstipation. After investigations, the patient underwent a failed sigmoidoscopic removal followed by exploratory laparotomy, foreign body removal, and an uneventful post-operative period. It should be noted that early diagnosis and timely intervention are important to prevent complications in rectal foreign bodies. Assessment of the shape, size, nature, and location of the object through appropriate imaging is necessary. Exploratory laparotomy is inevitable in cases of failed manual extraction techniques and complicated cases.
case reports; foreign bodies; laparotomy; rectum; sigmoidoscopy.
摘要:直肠异物是一种罕见的表现,通常与性满足、性侵犯或摄入有关,很少是意外的,且发病率上升。我们报告了一例 47 岁异性恋男性,据称三天前通过肛门意外插入异物,但没有腹膜炎或肠梗阻。经过检查,患者先进行了乙状结肠镜检查,但未能取出异物,随后进行了剖腹探查、异物取出术,术后恢复顺利。值得注意的是,早期诊断和及时干预对于预防直肠异物并发症很重要。通过适当的影像学检查评估物体的形状、大小、性质和位置是必要的。对于手动提取技术失败和复杂病例,剖腹探查是不可避免的。
关键词:病例报告;异物;剖腹术;直肠;乙状结肠镜检查。