Silent steel-a case report of retained foreign body in abdomen

Authors

  • R. Vishnu Department of General Surgery, Thanjavur Medical College and Hospital, Thanjavur, Tamil Nadu, India
  • Sumathi Ravikumar Department of General Surgery, Thanjavur Medical College and Hospital, Thanjavur, Tamil Nadu, India
  • F. Grey Bernard Department of General Surgery, Thanjavur Medical College and Hospital, Thanjavur, Tamil Nadu, India
  • R. Sachudhanandam Department of General Surgery, Thanjavur Medical College and Hospital, Thanjavur, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-2902.isj20252700

Keywords:

Psychiatric patient, Foreign body (metallic knife) in descending colon, Colotomy

Abstract

Foreign body insertions are seen in patients with a wide variety of backgrounds, ages and lifestyles. The incidence of colorectal foreign bodies is disproportionately higher in men. The earliest published report of a rectal foreign body insertion was in 1919 by Smiley. The typical age at presentation ranges from 20 to 90 years old, with a mean age of 44 years old. Here in our hospital a patient presented with the retained knife in abdomen for 8 months. A 30-year-old male patient who came to OPD with the history of self-insertion of a foreign body (kitchen knife) into his rectum due to cannabis induced psychosis (polyembolokoilomania) and had a retained foreign body for 8 months. After thorough clinical and radiological examination he had a finding of a metallic knife inside his Large Bowel without perforation and no signs of peritonitis. In view of difficulty in laparoscopic approach for removal, laparotomy and colotomy of descending colon made and retrieval of foreign body performed. Postoperative period was fair.

 

Metrics

Metrics Loading ...

References

Lucerna A. Foreign body insertions: a review. Emerg Med. 2017;49(7):315-9. DOI: https://doi.org/10.12788/emed.2017.0040

Townsend CM, Beauchamp RD, Evers BM, Mattox KL, editors. Sabiston textbook of surgery: the biological basis of modern surgical practice. Elsevier Health Sciences; 2016.

Bailey H. Hamilton Bailey's emergency surgery. Butterworth-Heinemann; 1986.

Kramer RE, Lerner DG, Lin T, Manfredi M, Shah M, Stephen TC, et al. North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition Endoscopy Committee. Management of ingested foreign bodies in children: a clinical report of the NASPGHAN Endoscopy Committee. J Pediatr Gastroenterol Nutr. 2015;60(4):562-74. DOI: https://doi.org/10.1097/MPG.0000000000000729

Bailey H, Love RM. A short practice of surgery. Academic Med. 1950;25(1):78.

Irpatgire R, Sarda V, Kale D. Rectal foreign body: case report and review of literature. Int Surg J. 2016;3:2334-6. DOI: https://doi.org/10.18203/2349-2902.isj20163629

Chandel K, Kumar S, Bhatia V, Debi U, Gorsi U. Intentional ingestion, insertion and self-embedding of foreign bodies-what a radiologist should know. Indian J Appl Radiol. 2022;8(1):172.

Goldberg JE, Steele SR. Rectal foreign bodies. Surg Clin N Am. 2010;90:173-84. DOI: https://doi.org/10.1016/j.suc.2009.10.004

Downloads

Published

2025-08-26

How to Cite

Vishnu, R., Ravikumar, S., Bernard, F. G., & Sachudhanandam, R. (2025). Silent steel-a case report of retained foreign body in abdomen . International Surgery Journal, 12(9), 1571–1574. https://doi.org/10.18203/2349-2902.isj20252700

Issue

Section

Case Reports