Browse > Article

A Case of a Colon Perforation Due to a Soft Rectal Foreign Body  

Lee, Jeong-Hwa (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine)
Kang, Sang-Bum (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine)
Ha, Dong-Cheon (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine)
Kwon, Ki-Huyn (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine)
Lee, Seung-Woo (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine)
Kim, Yeon-Soo (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine)
Lee, Dong-Soo (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine)
Nam, Soon-Woo (Department of Internal Medicine, Daejeon St. Mary’s Hospital, The Catholic University of Korea College of Medicine)
Publication Information
Clinical Endoscopy / v.43, no.1, 2011 , pp. 52-55 More about this Journal
Abstract
Numerous foreign bodies in the rectum have been reported in the literature. Their removal can be challenging depending on the size and shape of the objects and their anatomical location in the rectum. A 64-year-old man presented to the emergency department after inserting a sausage into his rectum. He had some rectal discomfort and lower abdominal pain. There were no signs of bowel perforation. We attempted to extract the sausage impacted in the recto-sigmoid junction by colonoscopy using a snare and grasping forceps but failed to extract the foreign body. Unfortunately, a colon perforation had occurred, and the sausage was eventually extracted by performing a colostomy at the recto-sigmoid junction with primary repair. We report this case of a soft rectal foreign body impacted in the recto-sigmoid colon complicated by a colon perforation with a literature review.
Keywords
Soft foreign body; Colon perforation; Operation;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Choi PW, Lee JM, Heo TG, et al. Rectal foreign body (glass cup) extracted by laparotomy. J Korean Surg Soc 2008;74:448-451.
2 Jung EJ, Ryu CG, Kim G, Hwang DY. Impaction of a foreign body in the rectum by improper use of a (electronic) massager: a case report. J Korean Soc Coloproctol 2010;26:298-301.   DOI   ScienceOn
3 Park JH, Lee SJ, Kim YH, et al. Endoscopic removal of embedded chicken bone from sigmoid colon using balloon dilatation. Korean J Gastrointest Endosc 2000;21:943-946.
4 Koornstra JJ, Weersma RK. Management of rectal foreign bodies: description of a new technique and clinical practice guidelines. World J Gastroenterol 2008;14:4403-4406.   DOI   ScienceOn
5 Singaporewalla RM, Tan DE, Tan TK. Use of endoscopic snare to extract a large rectosigmoid foreign body with review of literature. Surg Laparosc Endosc Percutan Tech 2007;17:145-148.   DOI   ScienceOn
6 Ooi BS, Ho YH, Eu KW, Nyam D, Leong A, Seow-Choen F. Management of anorectal foreign bodies: a cause of obscure anal pain. Aust N Z J Surg 1998;68:852-855.
7 Goldberg JE, Steele SR. Rectal foreign bodies. Surg Clin North Am 2010;90:173-184.   DOI   ScienceOn
8 Lake JP, Essani R, Petrone P, Kaiser AM, Asensio J, Beart RW Jr. Management of retained colorectal foreign bodies: predictors of operative intervention. Dis Colon Rectum 2004;47:1694-1698.   DOI   ScienceOn
9 Berghoff KR, Franklin ME Jr. Laparoscopic-assisted rectal foreign body removal: report of a case. Dis Colon Rectum 2005;48:1975-1977.   DOI   ScienceOn
10 Kim H, Ryoo S, Choe EK, Kim D, Lee D, Park KJ. Anal diseases ingested foreign bodies. J Korean Soc Coloproctol 2009;25:387-392.   DOI   ScienceOn
11 Park HC, Park CH, Cho SB, et al. Two cases of gastrointestinal perforation by foreign bodies. Korean J Gastrointest Endosc 2007;35:46-50.
12 Chae GS, Lee SM, Kim JS, et al. A case of fish bone induced colon perforation presented as an intraabdominal mass. Korean J Gastroenterol 2002;39:429-431.
13 Glase J, Hack T, Rubsam M. Unusual rectal foreign body: treatment using argon beam coagulation. Endoscopy 1997;29:230-231.
14 Kantarian JC, Riether RD, Sheets JA, Stasik JJ, Rosen L, Khubchandani IT. Endoscopic retrieval of foreign bodies from the rectum. Dis Colon Rectum 1987;30:902-904.   DOI   ScienceOn
15 Barone JE, Sohn N, Nealon TF Jr. Perforations and foreign bodies of the rectum: report of 28 cases. Ann Surg 1976;184:601-604.   DOI   ScienceOn
16 Crass RA, Tranbaugh RF, Kudsk KA, Trunkey DD. Colorectal foreign bodies and perforation. Am J Surg 1981;142:85-88.   DOI   ScienceOn
17 Arora S, Ashrafian H, Smock ED, Ng P. Total laparoscopic repair of sigmoid foreign body peforation. J laparoendosc Adv Surg Tech A 2009;19:401-403.   DOI   ScienceOn
18 Huang WC, Jiang JK, Wang HS, et al. Retained rectal foreign bodies. J Chin Med Assoc 2003;66:607-612.