1
|
Mantha P, Ng JYS, Elsabagh A, Slack T. Novel technique for retrieval of rectal foreign body using suprapubic catheter. ANZ J Surg 2021; 92:1889-1890. [PMID: 34752674 DOI: 10.1111/ans.17358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 10/24/2021] [Indexed: 11/30/2022]
Affiliation(s)
- Pranay Mantha
- Colorectal Surgery Department, The Princess Alexandra Hospital, Wooloongabba, Queensland, Australia.,Faculty of Health, School of Medicine, The Griffith University, Wurtulla, Queensland, Australia
| | - Jessica Yan-Seen Ng
- Colorectal Surgery Department, The Princess Alexandra Hospital, Wooloongabba, Queensland, Australia.,Faculty of Health, School of Medicine, The Griffith University, Wurtulla, Queensland, Australia
| | - Abdallah Elsabagh
- Colorectal Surgery Department, The Princess Alexandra Hospital, Wooloongabba, Queensland, Australia
| | - Timothy Slack
- Colorectal Surgery Department, The Princess Alexandra Hospital, Wooloongabba, Queensland, Australia.,Colorectal Surgery Department, Prince of Wales Hospital, Randwick, New South Wales, Australia
| |
Collapse
|
2
|
Nesemann S, Hubbard KA, Siddiqui MI, Fernandez WG. Rectal Foreign Body Removal in the Emergency Department: A Case Report. Clin Pract Cases Emerg Med 2020; 4:450-453. [PMID: 32926710 PMCID: PMC7434246 DOI: 10.5811/cpcem.2020.7.47237] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Accepted: 07/03/2020] [Indexed: 11/11/2022] Open
Abstract
Introduction Rectal foreign bodies (RFB) pose a challenge to emergency physicians. Patients are not often forthcoming, which can lead to delays to intervention. Thus, RFBs require a heightened clinical suspicion. In the emergency department (ED), extraction may require creative methods to prevent need for surgical intervention. Case Report The authors present a case of a successful extraction of a RFB in the ED and review of the literature. Conclusion Retained RFBs are an unusually problematic reason for an ED visit. Thus, it is important for emergency physicians to be comfortable managing such cases appropriately.
Collapse
Affiliation(s)
- Samuel Nesemann
- University of Texas Health San Antonio, Department of Emergency Medicine, San Antonio, Texas
| | - Kimberly A Hubbard
- University of Texas Health San Antonio Long School of Medicine, Department of Emergency Medicine, San Antonio, Texas
| | - Mehdi I Siddiqui
- University of Texas Health San Antonio Long School of Medicine, Department of Emergency Medicine, San Antonio, Texas
| | - William G Fernandez
- University of Texas Health San Antonio, Department of Emergency Medicine, San Antonio, Texas
| |
Collapse
|
3
|
Son MY, Park SJ, Moon W, Oh GM, Park MI, Kim SE, Kim JH, Jung K. Endoscopy-assisted Removal of a Large Rectal Foreign Body by the Valsalva Maneuver. THE KOREAN JOURNAL OF GASTROENTEROLOGY 2020; 76:42-45. [PMID: 32703919 DOI: 10.4166/kjg.2020.76.1.42] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/24/2020] [Revised: 04/27/2020] [Accepted: 04/28/2020] [Indexed: 11/03/2022]
Abstract
Although not as common as foreign bodies in the upper gastrointestinal tract, rectal foreign body insertion is often encountered in emergency departments. The diverse types of rectal foreign bodies have led to various removal methods. When removing a foreign body, the first thing to consider is which method is the least invasive and safest for the patient. This paper reports the successful removal of a rectal foreign body from the rectum using the Valsalva maneuver without anesthesia in a patient.
Collapse
Affiliation(s)
- Min Young Son
- Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
| | - Seun Ja Park
- Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
| | - Won Moon
- Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
| | - Gyu Man Oh
- Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
| | - Moo In Park
- Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
| | - Sung Eun Kim
- Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
| | - Jae Hyun Kim
- Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
| | - Kyoungwon Jung
- Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea
| |
Collapse
|
4
|
Shields HM, Scheid FJ, Pierce TT, Andersson KL, Conrad MF, Rosenthal MG, Martin SD. Case 4-2019: An 18-Year-Old Man with Abdominal Pain and Hematochezia. N Engl J Med 2019; 380:473-485. [PMID: 30699318 DOI: 10.1056/nejmcpc1810391] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Helen M Shields
- From the Department of Medicine, Brigham and Women's Hospital (H.M.S.), the Departments of Medicine (F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Massachusetts General Hospital, and the Departments of Medicine (H.M.S., F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Harvard Medical School - all in Boston
| | - Fabian J Scheid
- From the Department of Medicine, Brigham and Women's Hospital (H.M.S.), the Departments of Medicine (F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Massachusetts General Hospital, and the Departments of Medicine (H.M.S., F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Harvard Medical School - all in Boston
| | - Theodore T Pierce
- From the Department of Medicine, Brigham and Women's Hospital (H.M.S.), the Departments of Medicine (F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Massachusetts General Hospital, and the Departments of Medicine (H.M.S., F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Harvard Medical School - all in Boston
| | - Karin L Andersson
- From the Department of Medicine, Brigham and Women's Hospital (H.M.S.), the Departments of Medicine (F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Massachusetts General Hospital, and the Departments of Medicine (H.M.S., F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Harvard Medical School - all in Boston
| | - Mark F Conrad
- From the Department of Medicine, Brigham and Women's Hospital (H.M.S.), the Departments of Medicine (F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Massachusetts General Hospital, and the Departments of Medicine (H.M.S., F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Harvard Medical School - all in Boston
| | - Martin G Rosenthal
- From the Department of Medicine, Brigham and Women's Hospital (H.M.S.), the Departments of Medicine (F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Massachusetts General Hospital, and the Departments of Medicine (H.M.S., F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Harvard Medical School - all in Boston
| | - Scott D Martin
- From the Department of Medicine, Brigham and Women's Hospital (H.M.S.), the Departments of Medicine (F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Massachusetts General Hospital, and the Departments of Medicine (H.M.S., F.J.S., K.L.A.), Radiology (T.T.P.), Surgery (M.F.C., M.G.R.), and Orthopedic Surgery (S.D.M.), Harvard Medical School - all in Boston
| |
Collapse
|
5
|
Tringali A, Bonato G, Dioscoridi L, Mutignani M. New endoscopic technique for retrieval of large colonic foreign bodies and an endoscopy-oriented review of the literature. BMJ Case Rep 2018; 2018:bcr-2018-226348. [PMID: 30173136 DOI: 10.1136/bcr-2018-226348] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Colorectal foreign bodies (FB) are challenging issues for the endoscopist especially if the mostly used methods (polypectomy snare, biopsy forceps or wire-guided 40 mm dilation balloon) failed. We report a case of a 31-year-old man who was admitted in the emergency department for the impaction of a 60 cm long and large-size FB in the sigmoid colon. We failed to remove the FB using several different standard technique because of the rigidity, the smoothness and the size of the object. After all these attempts, we built up a 'home-made' device inserting a 0.035 inch non-hydrophilic guidewire (Metro WireGuide, Cook Medical) doubled into an 8.5 Fr stent-pusher-catheter (Cook Medical) serving as an outer sheet in order to create a noose and we finally succeeded in the endoscopic extraction of the device. We suggest this new technique as a valid option to remove large FBs from the colon and rectum when standard endoscopic methods for FB's extraction fail.
Collapse
Affiliation(s)
- Alberto Tringali
- Digestive Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy
| | - Giulia Bonato
- Digestive Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy
| | - Lorenzo Dioscoridi
- Digestive Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy
| | - Massimiliano Mutignani
- Digestive Endoscopy Unit, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milano, Italy
| |
Collapse
|