IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-1-14026 Original Research Paper MANAGEMENT OF RECTAL FOREIGN BODY: A RARE CASE REPORT R. Shah Dr. Dr. Hiral C. Chauhan Dr. January 2018 7 1 01 02 ABSTRACT

 

Anorectal foreign bodies are encountered infrequently. Although these foreign bodies are most often related to altered sexual behavior, they can also result from ingestion, sexual assault, self–treatment of anorectal disease or some medical procedure.[1] Numerous objects, including glass or plastic bottles, various fruits and vegetables, bones, nails, Impulse body spray cans, wooden or rubber objects, bulb, tube light, axe handle, broomstick, vibrators, sex toys, utensils, v–p shunt, etc. can be found in anal canal or rectum.[2,3] Involuntarily inserted objects like thermometers and enema tips, orally ingested objects such as tooth picks, chicken bones, coins,  bottle caps are sometimes retained in rectum. Because of the wide variety of objects and the variation in trauma caused to local tissues of the rectum and distal colon, A systematic approach to the diagnosis and management of rectal foreign bodies is essential.[4] Per anal removal is possible in majority of cases using various techniques. In case when it is not possible, colotomy is necessary. Even after extraction, delayed perforation of rectum or significant bleeding from the rectum may occur.