Foreign body of the colon (case report)
https://doi.org/10.33878/2073-7556-2023-22-4-99-103
Abstract
Aim: to present a clinical case and a literature review.
Patient and Methods: a 39-year-old man admitted to the clinic with abdominal pain, vomiting, urge to defecate, hiccups. He reported that a group of people forcibly injected him with an object through the anal canal. General check-up, chest and abdominal X-ray were done. The diagnosis was established: a foreign body of the rectum, sigmoid and colon. Under anesthesia, transanal removal of a foreign body was performed — a fragment of a pipe made of polymer materials with a length of 55 cm, a diameter of 6.5 cm.
Results: the item was extracted completely without complications. After 2 years, the man is healthy. In the world literature, we did not find reports of such a large length of transanally removed objects.
Conclusion: in the absence of peritonitis and perforation of the intestinal wall, transanal removal of a foreign body of the rectum and colon under anesthesia may be the method of choice.
About the Author
M. I. Davidov
E.A. Vagner Perm State Medical University MH RF
Russian Federation
Russian Federation
Mikhail I. Davidov,
Petropavlovskaya st., 26, Perm, 614990
References
1. Khubezov D.A., Trushin S.N., Puchkov K.V., et al. Treatment of rectal foreign bodies. Surgery journal named after N.I. Pirogov. 2016;(9):57-63. (In Russ.). doi: 10.17116/hirurgia2016957-63
2. Kokemohr P, Haeder L, Fromling FJ, et al. Surgical management of rectal foreign bodies: a 10-year single-center experience. Innovation Surgical Sciences. 2017;2(2):89–95. doi: 10.1515/iss-2017-0021
3. Ye H, Huang S, Zhou, et al. Migration of a foreign body to the rectum. Medicine. 2018;97(28):112–115. doi: 10.1097/md.0000000000011512
4. Popa F, Grigoroiu M, Georgescu ME. Intrarectal Foreign Body Detected at CT Scanner Investigating an Abdominal Syndrome. Case Report in Surgery. 2019;1:1–3. doi: 10.1155/2019/9134735
5. Ologun GO, Stevenson Y, Cagir B, et al. Successful Retrieval of a Retained Rectal Foreign Body in the Emergency Department. Cureus. 2018;10(1):20–25. doi: 10.7759/cureus.2025
6. Peixoto A, Azevedo F, Macedo G. Unusual Retained Rectal Foreign Body. GE Port J Gastroenterology. 2015;22(6):280–282. doi: 10.1016/j.jpge.2015.06.002
7. Ayantunde AA. Approach to the diagnosis and management of retained rectal foreign bodies: clinical update. Techniques in Coloproctology. 2013;17:13–20. doi: 10.1007/s10151-012-0899-1
8. Goldberg JE, Steele SR. Rectal foreign bodies. Surg Clin North Am. 2010;90(1):173–184. doi: 10.1016/j.suc.2009.10.004
Review
For citations:
Davidov M.I. Foreign body of the colon (case report). Koloproktologia. 2023;22(4):99-103. https://doi.org/10.33878/2073-7556-2023-22-4-99-103
Views:
447
Email this article 
