Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 16, 2024; 12(11): 1990-1995
Published online Apr 16, 2024. doi: 10.12998/wjcc.v12.i11.1990
Colonoscopy-assisted removal of an impaction foreign body at the rectosigmoid junction: A case report
Peng-Fei Zhou, Jin-Gen Lu, Jia-Dong Zhang, Jia-Wen Wang
Peng-Fei Zhou, Jin-Gen Lu, Jia-Dong Zhang, Jia-Wen Wang, Department of Anorectal Surgery, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai 200000, China
Author contributions: Zhou PF and Wang JW contributed to manuscript writing and editing, and data collection; Lu JG guided the treatment of this case; Zhang JD collected data of this case.
Supported by National Natural Science Foundation of China Project, No. 82004374; and The Second Round of Construction Project of National TCM Academic Schools Inheritance Workshop of the State Administration of Traditional Chinese Medicine, No. [2019]62.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jia-Wen Wang, MD, Doctor, Department of Anorectal Surgery, Longhua Hospital Shanghai University of Traditional Chinese Medicine, No. 725 Wanping South Road, Xuhui District, Shanghai 200000, China. drwangjiawen@163.com
Received: January 25, 2024
Peer-review started: January 25, 2024
First decision: February 2, 2024
Revised: February 7, 2024
Accepted: March 15, 2024
Article in press: March 15, 2024
Published online: April 16, 2024
Abstract
BACKGROUND

When an anorectal foreign body is found, its composition and shape should be evaluated, and a timely and effective treatment plan should be developed based on the patient's symptoms to avoid serious complications such as intestinal perforation caused by displacement of the foreign body.

CASE SUMMARY

A 54-year-old male was admitted to our outpatient clinic on June 3, 2023, due to a rectal foreign body that had been embedded for more than 24 h. The patient reported using a glass electrode tube to assist in the recovery of prolapsed hemorrhoids, however, the electrode tube was inadvertently inserted into the anus and could not be removed by the patient. During hospitalization, the patient underwent surgery, and the foreign body was dragged into the rectum with the aid of colonoscopy. The anus was dilated with a comb-type pulling hook and an anal fistula pulling hook to widen the anus and remove the foreign body, and the local anal symptoms were then relieved with topical drugs. The patient was allowed to eat and drink, and an entire abdominal Computed tomography (CT) and colonoscopy were reviewed 3 d after surgery. CT revealed no foreign body residue and colonoscopy showed no metal or other residues in the colon and rectum, and no apparent intestinal tract damage.

CONCLUSION

The timeliness and rationality of the surgical and therapeutic options for this patient were based on a literature review of the clinical signs and conceivable conditions in such cases. The type, material and the potential risks of rectal foreign bodies should be considered.

Keywords: Foreign body impaction, Surgical therapy, Rectum-sigmoid colon, Colonoscopy, Case report

Core Tip: There are various reasons for the embedding of rectal foreign bodies. Depending on the type and shape of the embedded foreign body, timely and appropriate therapeutic measures to avoid intestinal damage caused by the foreign body are the key to effective treatment. We report the case of a patient with an impacted rectal foreign body for more than 24 h. As the embedded foreign body in this patient was a glass tube with metal needles at the end, removal of the foreign body was carried out in conjunction with gastrointestinal endoscopy.