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FOREIGN BODY OF THE RECTUM
Dr. Robert FERGUSON presents a case of removal of foreign body from the rectum.
This is a 47 year old male admitted to the emergency room with a chief complaint of abdominal pain that started 16 Hs. prior to admission. Physical examined revealed a distended abdomen. Rectal exam showed no masses but traces of blood. An x-ray film of the abdomen is depicted below.
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This X-ray film of the abdomen shows a electronic device (with no batteries) located at the recto-sigmoid level. This position was to high for the examiner's finger to palpate it. At the emergency room the patient underwent an attempted removal of the device using a rectoscope, however the object, although visualized, was unable to be retrieved and the patient was transferred to the endoscopy department.
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After sedation with Meperidine a colonoscope was introduced via the anus. This picture shows the foreign body lodged at the recto-sigmoid level.
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An attempt was made to grasp the device with a wire snare. This was not possible due to the blunt contour of the object.
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Biopsy forceps were used to retrieve the device, but again this maneuver failed and pushed the object even further into the colon.
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A gynecological forceps (tenaculum clamp) is introduced into the anus and rectum, and under DIRECT vision the object is grasped and pulled down into the anal canal
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The object is retreived intact, sparing this patient an operation.
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