Retained Pesticide Bottle in the Rectum
Case Report: A 51-year-old male patient visited the emergency department (ED) for abdominal pain with bloody stool passage after inserting a pesticide bottle into his anus by himself. No fever or shock sign was presented. Plain film revealed a 23 cm × 8 cm cylindrical foreign body in the lower abdom...
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Knowledge E
2022-07-01
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| Series: | Dubai Medical Journal |
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| author | Chia-Chieh Ho Yu-Jang Su |
| author_facet | Chia-Chieh Ho Yu-Jang Su |
| author_sort | Chia-Chieh Ho |
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| description | Case Report: A 51-year-old male patient visited the emergency department (ED) for abdominal pain with bloody stool passage after inserting a pesticide bottle into his anus by himself. No fever or shock sign was presented. Plain film revealed a 23 cm × 8 cm cylindrical foreign body in the lower abdomen. A proctologist was consulted for foreign-body removal. Under general anesthesia, an anal retractor was put into the anus, and a large aluminum pesticide bottle was then removed successfully. Discussion: Many kinds of rectal foreign-body (RFBs) insertion into the rectum were reported, such as bottles, cans, vegetables like cucumber or carrots, wood sticks, and sexual devices. RFBs are more common in men than in women, with average cases presenting in middle age. Patients may be presented to ED with lower abdominal or anorectal pain, with failure to remove foreign bodies after several attempts. Delay of ED visit may lead to mucosal edema or mucosal break with bleeding. In more high-lying or nonradiolucent foreign bodies, a computed tomography provides clearer relative location to the adjacent organs. A transanal approach should be the first attempt if there are no signs of peritonitis and the foreign body is within 10 cm from the anal orifice. For foreign bodies with a deeper location, endoscopy may aid the retrieval work. If transanal approaches fail or the patient has signs of bowel perforation, an abdominal approach with laparoscopy or laparotomy should be considered. |
| format | Article |
| id | doaj-art-691a37c839b94358b005659e478244df |
| institution | DOAJ |
| issn | 2571-726X |
| language | English |
| publishDate | 2022-07-01 |
| publisher | Knowledge E |
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| series | Dubai Medical Journal |
| spelling | doaj-art-691a37c839b94358b005659e478244df2025-08-20T02:50:44ZengKnowledge EDubai Medical Journal2571-726X2022-07-011310.1159/000525693525693Retained Pesticide Bottle in the RectumChia-Chieh Ho0https://orcid.org/0000-0001-6439-5003Yu-Jang Su1https://orcid.org/0000-0003-0218-1944Department of Emergency Medicine, MacKay Memorial Hospital, Taipei City, TaiwanDepartment of Emergency Medicine, MacKay Memorial Hospital, Taipei City, TaiwanCase Report: A 51-year-old male patient visited the emergency department (ED) for abdominal pain with bloody stool passage after inserting a pesticide bottle into his anus by himself. No fever or shock sign was presented. Plain film revealed a 23 cm × 8 cm cylindrical foreign body in the lower abdomen. A proctologist was consulted for foreign-body removal. Under general anesthesia, an anal retractor was put into the anus, and a large aluminum pesticide bottle was then removed successfully. Discussion: Many kinds of rectal foreign-body (RFBs) insertion into the rectum were reported, such as bottles, cans, vegetables like cucumber or carrots, wood sticks, and sexual devices. RFBs are more common in men than in women, with average cases presenting in middle age. Patients may be presented to ED with lower abdominal or anorectal pain, with failure to remove foreign bodies after several attempts. Delay of ED visit may lead to mucosal edema or mucosal break with bleeding. In more high-lying or nonradiolucent foreign bodies, a computed tomography provides clearer relative location to the adjacent organs. A transanal approach should be the first attempt if there are no signs of peritonitis and the foreign body is within 10 cm from the anal orifice. For foreign bodies with a deeper location, endoscopy may aid the retrieval work. If transanal approaches fail or the patient has signs of bowel perforation, an abdominal approach with laparoscopy or laparotomy should be considered.https://beta.karger.com/Article/FullText/525693bloody stoolrectumretained pesticide bottle |
| spellingShingle | Chia-Chieh Ho Yu-Jang Su Retained Pesticide Bottle in the Rectum Dubai Medical Journal bloody stool rectum retained pesticide bottle |
| title | Retained Pesticide Bottle in the Rectum |
| title_full | Retained Pesticide Bottle in the Rectum |
| title_fullStr | Retained Pesticide Bottle in the Rectum |
| title_full_unstemmed | Retained Pesticide Bottle in the Rectum |
| title_short | Retained Pesticide Bottle in the Rectum |
| title_sort | retained pesticide bottle in the rectum |
| topic | bloody stool rectum retained pesticide bottle |
| url | https://beta.karger.com/Article/FullText/525693 |
| work_keys_str_mv | AT chiachiehho retainedpesticidebottleintherectum AT yujangsu retainedpesticidebottleintherectum |