Abstract

REMOVAL OF FOREIGN BODY PER RECTUM

Khakre Lakshmikant Maheshwarappa*, Amilkanthwar Rajendra H., Damare Gaurav S.

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Abstract

Introduction: Rectal foreign bodies (RFB) present the modern surgeon with a difficult management dilemma, as the type of object, host anatomy, time from insertion, associated injuries and amount of local contamination may vary widely. Reluctance to seek medical help and to provide details about the incident often makes diagnosis difficult. Management of these patients may be challenging, as presentation is usually delayed after multiple attempts at removal by the patients themselves have proven unsuccessful. Presentation of case: In this article we report the case of a male who presented with a large Christmas candle wedged into his rectum. As we were able to extract the object with routine transanal approach, we performed manual extraction of foreign body under spinal block that helped relax and widen the pelvic inlet and allow transanal extraction. Discussion & Conclusion: Management of patients with rectal foreign bodies can be challenging and a systematic approach should be employed. The majority of cases can be successfully managed conservatively, but occasional surgical intervention is warranted. If large objects, tightly wedged in the pelvis cannot be removed with laparotomy, pubic symphysiotomy should be considered.

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