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Author Oka, Akihiko ♦ Kinoshita, Yoshikazu ♦ Mikami, Hironobu ♦ Sato, Shuichi ♦ Moriyama, Ichiro ♦ Ishimura, Norihisa ♦ Ishihara, Shunji ♦ Yuki, Takafumi ♦ Kawashima, Kousaku
Source Directory of Open Access Journals (DOAJ)
Content type Text
Publisher Karger Publishers
File Format HTM / HTML
Date Created 2016-11-11
Copyright Year ©2016
Language English
Subject Domain (in LCC) RC799-869
Subject Keyword Internal medicine ♦ Diseases of the digestive system ♦ Endoscopy ♦ Medicine ♦ Rectal foreign body ♦ Gastroenterology ♦ Compression ♦ Fluoroscopy ♦ Specialties of internal medicine
Abstract We occasionally encounter patients with various types of rectal foreign bodies. When too large to grasp, transanal removal can be difficult. Here, we report a case of successful manual transanal removal of an 18 × 4 × 4 cm silicon rod without complications. A 50-year-old male came to the emergency department of our hospital 12 h after transanal insertion of a whole silicon rod. An abdominal examination showed no evidence of peritonitis, while X-ray and computed tomography findings revealed a large foreign body in the rectum, without any sign of perforation. Initially, we attempted removal using an endoscopy procedure with conventional endoscopic instruments, including a snare and grasp forceps, though we failed because of the large size. Next, we manually compressed the foreign body from the abdominal wall under endoscopic and X-ray fluoroscopic observation, and successfully removed it in a transanal manner without complications. Endoscopic and X-ray fluoroscopic assistance were helpful to guide the direction and angle of abdominal compression in this case.
ISSN 16620631
Age Range 18 to 22 years ♦ above 22 year
Educational Use Research
Education Level UG and PG ♦ Career/Technical Study
Learning Resource Type Article
Publisher Date 2016-11-01
e-ISSN 16620631
Journal Case Reports in Gastroenterology
Volume Number 10
Issue Number 3
Page Count 7
Starting Page 646
Ending Page 652


Source: Directory of Open Access Journals (DOAJ)