Year 2025 / Volume 117 / Number 12
Digestive Diseases Image
A long rectal foreign body successfully removed after colonoscopy

757-758

DOI: 10.17235/reed.2024.10251/2024

Carlos Borges Chaves, Luís Santos, Sofia Mendes, Pedro Figueiredo,

Abstract
A man in his 70s, without prior foreign body history, presented to the emergency department 15 days after accidentally inserting a tubular object into his anus. He reported a reduction in normal bowel movements. Initial physical examination was normal. An abdominal X-ray revealed a tubular hypodensity in the pelvic region, without perforation. Subsequently, it was decided to perform a colonoscopy during which a foreign body was visualized in the distal rectum, that was successfully removed with the use of a rat tooth forceps. The foreign body was a plastic tube about 18cm in size. Afterwards, the rest of the colon was assessed, having identified an ulcer in the lower rectum related to the presence of the object. Six months later, the patient reported no complains and a follow-up colonoscopy was conducted which was normal. Discussion: Rectal foreign bodies, whose size and shape are variable and sometimes aberrant, are often self-inserted for self-gratification by adults, and its incidence is increasing. Patients typically avoid immediate medical attention and seek help only when complications arise. Formal clinical guidelines are lacking, and this case illustrates the importance of clinical judgement in the management of rectal foreign bodies, whether endoscopic or surgical.
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Borges Chaves C, Santos L, Mendes S, Figueiredo P. A long rectal foreign body successfully removed after colonoscopy. 10251/2024


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Publication history

Received: 08/01/2024

Accepted: 30/01/2024

Online First: 12/02/2024

Published: 12/12/2025

Article Online First time: 35 days

Article editing time: 704 days


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