Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Feb 16, 2024; 16(2): 91-97
Published online Feb 16, 2024. doi: 10.4253/wjge.v16.i2.91
Treatment of benign rectal stricture caused by repeated anal insertion by endoscopy and balloon dilation: A case report
Shih-Hung Liu, Jung-Cheng Kang, Je-Ming Hu, Chao-Yang Chen, Kuan-Hsun Lin, Ta-Wei Pu
Shih-Hung Liu, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
Jung-Cheng Kang, Division of Colon and Rectal Surgery, Department of Surgery, Taiwan Adventist Hospital, Taipei 105, Taiwan
Je-Ming Hu, Chao-Yang Chen, Division of Colon and Rectal Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
Kuan-Hsun Lin, Division of Thoracic Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
Ta-Wei Pu, Division of Colon and Rectal Surgery, Department of Surgery, Songshan Branch, Tri-Service General Hospital, National Defense Medical Center, Taipei 105, Taiwan
Author contributions: Liu SH and Kang JC drafted the manuscript; TW Pu revised the final draft of the manuscript; Lin KS contributed to data acquisition; Chen CY and Hu JM contributed to the investigation and interpretation of the data; All authors have read and approved this version of the manuscript.
Informed consent statement: Written informed consent was obtained from the patient to publish this report and accompanying images.
Conflict-of-interest statement: All the authors declare that they have no conflict of interest to disclose.
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: Ta-Wei Pu, MD, Lecturer, Division of Colon and Rectal Surgery, Department of Surgery, Songshan Branch, Tri-Service General Hospital, National Defense Medical Center, No. 131 Jiankang Road, Taipei 105, Taiwan. tawei0131@gmail.com
Received: October 12, 2023
Peer-review started: October 12, 2023
First decision: December 8, 2023
Revised: December 28, 2023
Accepted: January 22, 2024
Article in press: January 22, 2024
Published online: February 16, 2024
Processing time: 111 Days and 2.8 Hours
Core Tip

Core Tip: The etiologies of benign rectal stricture are primarily associated with chronic inflammation and post-surgical complications. We describe an unusual etiology caused by repeated insertion of foreign objects into the rectum for sexual purposes, resulting in rectal injury and subsequent chronic inflammation. Initiating treatment with endoscopic management and then considering surgical resection, if unsuccessful, might be the most suitable therapeutic strategy. Endoscopic argon plasma coagulation combined with balloon dilation is beneficial for treating benign rectal stricture.