DOI: http://dx.doi.org/10.18203/2349-2902.isj20183745

Management of rectal foreign body with endoscopic snare: a case report

A. Sai Kishore, S. Sabu Jeyasekharan, Nithila C., N. Pradeep Reddy

Abstract


Foreign bodies in the rectum, although not much common present a challenging task to the surgeons for retrieval.  Depending on the type and position they can cause anorectal trauma and perforative peritonitis. Diagnosis is usually by history, per rectal examination and radiography. Here authors present a 27-year-old male who came with history of insertion of candle into rectum to prevent bleeding from haemorrhoids. Perforative peritonitis was ruled out and manually tried to remove it and all attempts failed. He was posted for colonoscopy and it revealed 23cm long candle in the rectum with bleeding anal tag. The tip of candle extended into sigmoid colon. Polypectomy snare applied around the candle and foreign body was gently removed. Check colonoscopy revealed no significant injury. He was referred to psychiatry department and he was discharged the next day.


Keywords


Colonoscopy, Haemorrhoids, Polypectomy snare, Radiography

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References


Koomstra JJ, Weersma RK. Management of rectal foreign bodies: description of a new technique and clinical practice guidelines. World J Gastroenterol. 2008,14(27):4403-6.

Goldberg JE, Steele SR. Rectal foreign bodies. Surg Clin North Am. 2010;90(1):173-84.

Kent JD. Munchausen’s syndrome and substance abuse. J Subst Abuse Treat. 1994;11(3):247-51.

Khan SA, Davey CA, Khan SA, Trigwell PJ, Chintapatla S. Munchausen’s syndrome presenting as rectal foreign body insertion: a case report. Cases J. 2008;1(1):243.

Smith MT, Wong RK. Foreign bodies. Gastrointendoscclin N Am. Apr 2007;17(2):361-82.

Akhtar MA, Arora PK. Case of unusual foreign body in the rectum. Saudi J Gastroenterol. 2009;15(2):131-2.

Clarke DL, Buccimazza I, Anderson FA, Thomson SR. Colorectal foreign bodies. Colorectal Dis. Jan 2005;7(1):98-103.

Stack LB, Munter DW. Foreign bodies in the gastrointestinal tract. Emerg Med Clin North Am. Aug 1996;14(3):493-521.

Eftaiha M, Hambrick E, Abcarian H. Principles of management of colorectal foreign bodies. Arch Surg. 1977;112:691-5.

Kingsley A, Abcarian H. Colorectal foreign bodies management update. Dis Colon Rectum. 1985;28:94-104.

Barone JE, Yee J, Nealon JT. Management of foreign bodies and trauma of the rectum. Surg Gynecol Obstet. 1983 Apr;156(4):453-7.

Desai B. Visual diagnosis: rectal foreign body: a primer for emergency physicians. Int J Emerg Med. 2011;4:73.

Lake JP, Essani R, Petrone P, Kaiser AM, Asensio J, Beart RW. Management of retained colorectal foreign bodies: predictors of operative intervention. Dis Colon Rectum. 2004 Oct 1;47(10):1694-8.

Subbotin VM, Davidov MI, Abdrashitov RR, Ryloviul, Sholin NV. Foreign bodies in rectum. Vestn Khirim I I Grek. 2000;159:91-5.

Kasotakis G, Roediger L, Mittal S. Rectal foreign bodies: a case report and review of the literature. Int J Surg. 2012;3(3):111-5.

Bak Y, Merriam M, Neff M, Berg DA. Novel approach to rectal foreign body extraction. JSLS. 2013;17(2):342-5.