Hassine Hiba Ben, Chaka Amina, Ouertani Ferdaoues, Jabra Sadek Ben, Korbi Ibtissem, Noomen Faouzi
Department of Visceral Surgery, Fattouma Bourguiba Hospital, Monastir University, Monastir, Tunisia.
Pan Afr Med J. 2024 Aug 8;48:162. doi: 10.11604/pamj.2024.48.162.43548. eCollection 2024.
Entrapped rectal foreign bodies are being encountered more frequently in clinical practice. They are most often related to sexual behavior or sexual assault. The presence of rectal foreign bodies poses a complex challenge for contemporary surgeons due to multiple factors such as the nature of the object, individual anatomy, duration since insertion, potential accompanying injuries, and degree of local contamination. Managing these cases proves challenging, typically because patients often delay presentation after multiple unsuccessful attempts at self-removal. This study aimed to report the case of a male who presented with an entrapped rectal foreign body related to his sexual behavior. As we could not extract the object with the transanal approach, he was treated by an operative method. Managing patients with rectal foreign bodies presents challenges that require a systematic approach. While most cases can be effectively managed conservatively, surgical intervention may be necessary.
临床上直肠异物嵌顿的情况越来越常见。它们大多与性行为或性侵犯有关。由于异物的性质、个体解剖结构、插入后的时间、潜在的伴随损伤以及局部污染程度等多种因素，直肠异物的存在给当代外科医生带来了复杂的挑战。处理这些病例颇具挑战性，通常是因为患者在多次自行取出失败后往往延迟就诊。本研究旨在报告一例因性行为导致直肠异物嵌顿的男性病例。由于经肛门途径无法取出异物，他接受了手术治疗。处理直肠异物患者面临诸多挑战，需要系统的方法。虽然大多数病例可通过保守治疗有效处理，但可能仍需手术干预。
