An anorectal foreign body can cause serious complications such as incontinence, rectal perforation, peritonitis, or pelvic abscess, so it should be managed immediately. We experienced two cases of operative treatment for a self-inserted anorectal foreign body. In one, the foreign body could not be removed as it was completely impacted in the anal canal. We failed to remove it through the anus. A laparotomy and removal of the foreign body was performed by using an incision on the rectum. Primary colsure and a sigmoid loop colostomy were done. A colostomy take-down was done after three months. The other was a rectal perforation from anal masturbation with a plastic device. We performed primary repair of the perforated rectosigmoid colon, and we didea sigmoid loop colostom. A colostomy take-down was done three months later. Immediate and proper treatment for a self-inserted anorectal foreign body is important to prevent severe complications, and we report successful surgical treatments for problems caused by anorectal foreign bodies.

Citations

Citations to this article as recorded by  

• Rectal foreign bodies. Diagnostic program and emergency care
  M. A. Egorkin, E. E. Bolkvadze, V. K. Obukhov, I. N. Gorbunov, M. Ya. Evloeev
  Koloproktologia.2024; 23(4): 124.     CrossRef
• Treatment of rectal foreign bodies
  D. A. Khubezov, S. N. Trushin, K. V. Puchkov, D. K. Puchkov, A. Yu. Ogorel’tsev
  Khirurgiya. Zhurnal im. N.I. Pirogova.2016; (9): 57.     CrossRef
• Rectal perforation caused by a sharp pig backbone in a middle-aged patient with mild depression
  Hyeong Ju Sun, Jeonghun Lee, Dong Min Kim, Myeong-Su Chu, Kyoung Sun Park, Dong Jin Choi
  Yeungnam University Journal of Medicine.2015; 32(1): 31.     CrossRef

Foreign bodies in the gastrointestinal tract often cause serious complications, such as perforation, obstruction, abscess formation, or hemorrhage. This is a case in which a patient visited our hospital and complained of a vague lower abdominal pain that had been present for three months. She had an intrauterine device (IUD) inserted five years earlier. The abdominal X-ray, computed tomography and colonoscopy revealed that the IUD had penetrated into the descending colon. We tried to remove the IUD by colonoscopy but failed due to pain, so we removed the IUD surgically. Thus, we report a case in which a previously inserted IUD had penetrated into the descending colon and was surgically removed. We also present a brief review of the literature.

Citations

Citations to this article as recorded by  

• Missing intrauterine device migrated to terminal ileum resembling adnexal mass: A case report
  Mohammad Kamal Tani, Wais Farda, Haider Khan, Omer Malikzai, Zabihullah Sharif
  International Journal of Surgery Case Reports.2024; 115: 109279.     CrossRef
• Robotic assisted removal of migrated intrauterine device
  Marco Bertucci Zoccali, Osama Jabi
  Colorectal Disease.2023; 25(8): 1718.     CrossRef
• Is It a “Colon Perforation”? A Case Report and Review of the Literature
  Shuangshuang Lu, Xinyu Yao, Jun Shi, Jian Huang, Shaohua Zhuang, Junfang Ma, Yan Liu, Wei Zhang, Lifei Yu, Ping Zhu, Qiuwei Zhu, Ruxia Shi, Hong Zheng, Dong Shao, Yuyan Pan, Shizhen Bao, Li Qin, Lijie Huang, Wenjia Liu, Jin Huang
  Frontiers in Medicine.2022;[Epub]     CrossRef
• Intestinal Perforation by a Migrated Intrauterine Contraceptive Device: A Review of This Rare but Important Complication
  Antony Zacharias, Stephanie Clark, Chetan Parmar, Ayo Oshowo
  SN Comprehensive Clinical Medicine.2021; 3(8): 1759.     CrossRef
• Incomplete Removal of an Intrauterine Device Perforating the Sigmoid Colon
  Junseak Lee, Jung Hwan Oh, Jinsu Kim, Chul-Hyun Lim, Sung Hoon Jung
  The Korean Journal of Gastroenterology.2021; 78(1): 48.     CrossRef
• Rectum migration of an intrauterine device
  Rui Li, Hongmei Li, Jie Zhang, Huiqing Li
  Journal of Minimal Access Surgery.2021; 17(1): 113.     CrossRef
• Pelvic abscess complicating sigmoid colon perforation by migrating intrauterine device: A case report and review of the literature
  Omar Toumi, Houssem Ammar, Abdessalem Ghdira, Amine Chhaidar, Wided Trimech, Rahul Gupta, Randa Salem, Jamel Saad, Ibtissem Korbi, Mohamed Nasr, Faouzi Noomen, Mondher Golli, Khadija Zouari
  International Journal of Surgery Case Reports.2018; 42: 60.     CrossRef

A male, 67 years old, visited the emergency room because of a foreign body impacted in his rectum. While he was being treated for grade-II hemorrhoids conservatively, he heard that massage of the peri-anal area could be helpful for preventing hemorrhoids. Thus, while using an electronic massager after placing the head of the machine into a short round bar, the head became separated from the machine, and this was inserted into the anus and impacted. The patient had anal discomfort without abdominal pain. His vital signs were stable, and no abnormal physical findings were found for the abdomen. On digital rectal examination, the rim of the foreign body was palpated about 8 cm from the anal verge. Anal bleeding, abnormal discharge, or foul odor was not found. On a simple abdominal X-ray, a radio-opaque foreign body was observed in the pelvic cavity, and mild leukocytosis was noted on the laboratory test. To avoid injury to the anal sphincter, we tried to remove the foreign body under the spinal anesthesia. After anesthesia had been administered, the foreign body was palpated more distally at 5-6 cm from the anal verge by digital examination, and the foreign body was found to have a hole in its center. This was held using a Kelly clamp, and with digital guiding, was removed through the anus. After removal, an anoscopic examination was performed to determine if mucosal injury had occurred in the rectum or anal canal. The patient was discharged without complication after 24 hours of close observation.

Citations

Citations to this article as recorded by  

• Rectal perforation caused by a sharp pig backbone in a middle-aged patient with mild depression
  Hyeong Ju Sun, Jeonghun Lee, Dong Min Kim, Myeong-Su Chu, Kyoung Sun Park, Dong Jin Choi
  Yeungnam University Journal of Medicine.2015; 32(1): 31.     CrossRef

Citations

Citations to this article as recorded by  

• Operative Treatment with a Laparotomy for Anorectal Problems Arising from a Self-Inserted Foreign Body
  Seung-Bum Ryoo, Heung-Kwon Oh, Heon-Kyun Ha, Eun Kyung Choe, Sang Hui Moon, Kyu Joo Park
  Journal of the Korean Society of Coloproctology.2012; 28(1): 56.     CrossRef