More Foreign Body Case Reports

Subject: Re: Anal Intercourse Question
Date: Mon, 27 Dec 1993 23:13:27 GMT

: Per animal insertion case reports, etc., you may wish to check with
: Hennipen Co. Medical Center, Minneapolis, MN, Ramsey Hospital, St. Paul,
: MN., Fairview-Southdale Hospital, Edina, MN.  Fairview-Southdale was
: where, in particular, a male was admitted via ER with a macerated colon
: due to insertion of a live small gerbil.

And for further information, check out these references the next time
you're at your favorite medical library:


   DATE:  27 DECEMBER 1993

Search result:  19 citations in the Medline database

[note:  citations re pediatric ingestion of foreign objects now lodged
in rectum, and the like, were deleted]

Display:  SHORT ABS

1. Fletcher EC; Varon J.
     Intestinal obstruction: the marble effect [letter].
   American Journal of Emergency Medicine, 1993 May, 11(3):317.
     (UI:  93257027)
     Pub type:  Letter.

2. Yaman M; Deitel M; Burul CJ; Shahi B; Hadar B.
     Foreign bodies in the rectum.
   Canadian Journal of Surgery, 1993 Apr, 36(2):173-7.
     (UI:  93230489)

Abstract: Although infrequent, rectal foreign bodies present a challenge in
    management. The authors report on their experience with 29 patients who had
    rectal foreign bodies. Emergency-department procedures included rectal
    examination, proctoscopy and abdominal radiography. Soft or low-lying
    objects having an edge could be grasped and removed safely in the emergency
    department, but grasping hard objects was potentially traumatic and
    occasionally resulted in upward migration toward the sigmoid.
    Operating-room procedures included anal dilatation under general
    anesthesia, transrectal manipulation, bimanual palpation if necessary and
    withdrawal of the foreign body. In two cases, rectal mucosa was trapped--in
    an open deodorant bottle in one patient and in a curtain rod in the second
    patient; operative release of the mucosa enabled safe removal. Two patients
    presented with peritonitis; both had "broomstick" injuries and required
    proximal colostomy. Five patients had perianal sepsis due to inadvertently
    ingested pieces of wood (three) and chicken bones (two). The mean hospital
    stay was 3 days (range from 6 hours to 6 days). There were no deaths.
    Because of the potential complications, rectal foreign bodies should be
    regarded seriously and treated expeditiously.

3. Collins GN.
     Catheter balloon rupture using transrectal ultrasound.
   Journal of Urology, 1993 Jan, 149(1):91.
     (UI:  93108555)

4. Clarkston WK.
     Gastrointestinal foreign bodies. When to remove them, when to watch and
   Postgraduate Medicine, 1992 Oct, 92(5):46-8, 51-9.
     (UI:  93027888)

Abstract: By being aware of which patients are at high risk for ingestion or
    insertion of foreign bodies, physicians can be on the lookout for objects
    in the gastrointestinal tract and ready to institute initial care.
    Esophageal foreign bodies and other objects that increase the chance of
    perforation or obstruction may require urgent endoscopic or surgical
    removal. Other objects may be expelled on their own. Identification of
    those that require early intervention is the key to successful management.

5. Stokes M; Jones DJ.
     ABC of colorectal diseases. Colorectal trauma.
   Bmj, 1992 Aug 1, 305(6848):303-6.
     (UI:  93006174)
     Pub type:  Journal Article; Review; Review, Tutorial.

6. Saunders MS; Bitonte AG; McElroy JB.
     The improbable intravesical foreign body.
   Southern Medical Journal, 1992 Jun, 85(6):653-5.
     (UI:  92294963)

Abstract: Foreign objects in the urinary bladder can occasionally pose
    perplexing diagnostic problems, especially in the face of a seemingly
    incredible history. This case illustrates the importance of investigating
    such claims. Occasionally, alternate diagnostic methods such as fluoroscopy
    or ultrasonography may assist in noninvasive diagnosis and management.

7. Campbell JK.
     Case report: a case of rectal perforation by foreign body presenting as
     pyrexia of unknown origin.
   Journal of the Royal Naval Medical Service, 1992 Spring, 78(1):13-5.
     (UI:  93085630)

8. Gough J.
     Removal of alimentary foreign bodies [letter; comment].
   British Journal of Hospital Medicine, 1991 Oct, 46(4):270.
     (UI:  92063349)
     Pub type:  Comment; Letter.

9. Ikeda N; Hulewicz B; Knight B; Suzuki T.
     Homicide by rectal insertion of a walking stick.
   Nippon Hoigaku Zasshi. Japanese Journal of Legal Medicine, 1991 Aug,
     (UI:  92114358)

Abstract: A 75-year-old disabled man was killed by a homosexual mental patient
    by the rectal insertion of a walking stick. The external examination of the
    body showed only four superficial tears in the skin of the anus. However,
    there was a 1 cm diameter full thickness perforation in the anterior wall
    of the rectum and the cause of death was the perforated rectum. The
    importance of the careful investigation into the circumstances of death,
    the background of the decreased, and the condition of the anus and rectum
    is discussed.

10. Shah PA; Pagare SK; Deshmukh VM; Changlani TT.
      Intra peritoneal rectal tear: delayed presentation in a battered baby.
    Indian Journal of Gastroenterology, 1991 Apr, 10(2):66.
      (UI:  91250218)

Abstract: We report a two and a half year old child who presented with an acute
    abdomen two days after a spoon was forcefully inserted per rectum. The
    child recovered after repair of the rectal tear and a temporary sigmoid

11. Davies DH.
      A chicken bone in the rectum.
    Archives of Emergency Medicine, 1991 Mar, 8(1):62-4.
      (UI:  91307604)

Abstract: A case of an ingested chicken bone lodging in the anal canal is
    described which presented as severe rectal pain. Certain people are at
    increased risk of foreign body ingestion, in particular denture wearers.
    The foreign body is usually obvious and easily removed and although the
    risks of perforation are not high it is important to exclude it by
    proctosigmoidoscopy following removal of the foreign body.

12. Miller BJ; Wetzig NR.
      Incarcerated sigmoid bottle.
    Australian and New Zealand Journal of Surgery, 1990 Sep, 60(9):729-31.
      (UI:  90372871)

Abstract: A 67-year-old man presented to Casualty approximately 12 hours after
    the insertion of a bottle into his rectum. An attempt was made to deliver
    the bottle through the rectum but because of perirectal oedema and a
    coat-hanger wire around the internal end of the bottle, this proved
    impossible. Laparotomy was performed and the bottle was removed through a
    longitudinal colotomy.

13. Kyvik KR; Brattebo G.
      The potential hazards of eating fish [letter].
    Gastroenterology, 1990 Aug, 99(2):602.
      (UI:  90306723)
      Pub type:  Letter.

14. Ober WB.
      Anorectal trauma [letter; comment].
    American Journal of Forensic Medicine and Pathology, 1990 Jun, 11(2):181.
      (UI:  90261681)
      Pub type:  Comment; Letter.

15. Colthurst JR.
      How to remove a rectal foreign body [letter] [see comments].
    British Journal of Hospital Medicine, 1990 May, 43(5):329.
      (UI:  90304476)
      Pub type:  Letter.

16. Gilbert PM.
      Multiple ingested foreign bodies impacting in the rectum.
    British Journal of Clinical Practice, 1990 Apr, 44(4):160.
      (UI:  90321800)

17. Williams JA.
      Foreign bodies stuck in the rectum [editorial].
    Bmj, 1989 Apr 22, 298(6680):1052-3.
      (UI:  89248075)
      Pub type:  Editorial.

18. Eckert WG; Katchis S.
      Anorectal trauma. Medicolegal and forensic aspects [see comments].
    American Journal of Forensic Medicine and Pathology, 1989 Mar, 10(1):3-9.
      (UI:  89190563)
      Pub type:  Journal Article; Review; Review, Tutorial.

Abstract: A review of both deliberate and accidental anorectal trauma is
    presented. The mechanisms and types of injuries as well as the
    complications are discussed. Injuries resulting from sexual assaults are
    discussed in detail.

19. Caos A; Flood B; Morrell M.
      Rectal bleeding due to enemas [letter].
    American Journal of Gastroenterology, 1989 Jan, 84(1):87.
      (UI:  89103265)
      Pub type:  Letter.

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