Abstract
A series comprised of 28 patients (five with perforations of the recto-sigmoid colon and 23 with lodged rectal foreign bodies) is presented. The symptomatology, physical, laboratory and x-ray findings are described. Methods of management are discussed, with emphasis on the operative management of perforations and the conservative approach to retained foreign bodies. It is felt that these protocols will be useful to physicians who see this practice less frequently. X-rays of two more unusual cases are depicted. A thorough review of the literature is also presented. This is the largest reported series of patients with retained rectal foreign bodies and/or perforations. The series includes two female patients, a heretofore unreported occurrence.
Full text
PDFImages in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BUTTERS A. G. An unusual rectal injury. Br Med J. 1955 Sep 3;2(4939):602–603. doi: 10.1136/bmj.2.4939.602. [DOI] [PMC free article] [PubMed] [Google Scholar]
- CARRY E. J. Removal of a foreign body in the rectosigmoid using a tonsil snare. AMA Arch Surg. 1958 Mar;76(3):465–466. doi: 10.1001/archsurg.1958.01280210135027. [DOI] [PubMed] [Google Scholar]
- HUNTER R. C., Jr Foreign body (light bulb) in the rectosigmoid colon. U S Armed Forces Med J. 1954 Jul;5(7):1058–1060. [PubMed] [Google Scholar]
- KLEITSCH W. P. Foreign bodies in the rectum; a case report. Mil Surg. 1949 Sep;105(3):215–217. [PubMed] [Google Scholar]
- LESH R. E. Presentation of foot through intact anus during breech delivery. Am J Obstet Gynecol. 1952 Sep;64(3):688–689. doi: 10.1016/0002-9378(52)90268-8. [DOI] [PubMed] [Google Scholar]
- Lowicki E. M. Accidental introduction of giant foreign body into the rectum: case report. Ann Surg. 1966 Mar;163(3):395–398. doi: 10.1097/00000658-196603000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
- ReBELL F. G. The problem of foreign bodies in the colon and rectum. Am J Surg. 1948 Dec;76(6):678–686. doi: 10.1016/s0002-9610(48)90208-6. [DOI] [PubMed] [Google Scholar]