Perforation Due to Rectal Foreign Body and Radiological Findings

Document Type: Case Report

Authors

1 Van Traınıng and Research Hospıtal, Van, Turkey

2 Department of Radiology, Medical Faculty, Yuzuncu Yıl University, Van, Turkey

3 Department of General Surgery, Medical Faculty, Yuzuncu Yıl University, Van, Turkey

Abstract

Perforation Due to Rectal Foreign Body and Radiological Findings

İntroduction: Rectal foreign bodies have been increasingly seen and cause urgent surgical complications. Diagnosis and treatment of these cases in emergency departments may be difficult. The effective use of radiological imaging techniques can accelerate and facilitate this process.
Case presentation: A 65-year-old male patient, who underwent computed tomography with the suspicion of a foreign body in the rectum, was admitted to the emergency outpatient clinic. The patient was a male patient with a psychiatric illness who later underwent emergency surgery. Since the patient had impaired consciousness during the examination, anamnesis could not be obtained, so surgical consultation in the emergency service was first consulted as perforation due to rectal tumoral thickening.
In almost all cases, plain radiography is sufficient and can eliminate diagnostic difficulties. However, this is not possible in non-opaque objects. Therefore, CT played an important role in the diagnosis of this patient. A 30cm foreign body, salami, was removed from the abdomen of the patient, who was later taken into emergency surgery.
Conlusion: The guiding role of radiological examinations in diagnosis and treatment was discussed, and it was emphasized that CT is a problem-solving tool for rectal foreign body.

Keywords


1. Oruç C, Uğur M, Akkuçuk S, Çelikel A, Kılıç E, Ortanca I. Rektumda Inorganik Yabancı Cisim: Olgu Sunumu. Int J Basic Clin Med 2015;3:131-4.
2. Atila K, Sökmen S, Astarcıoglu H, Canda E. Rektumda yabancı cisim: Dort olgu sunumu. Ulusal Travma Derg 2004;10:253-6.
3. Cologne KG, Ault GT. Rectal foreign bodies:what is the current standard? Clin Colon Rectal Surg 2012;25:214–18.
4. Anderson KL, Dean AJ. Foreign bodies in the gastrointestinal tract and anorectal emergencies. Emerg Med Clin North Am 2011;29:369–400.
5. Lake JP, Essani R, Petrone P, Kaiser AM, Asensio J, Beart RW Jr. Management of retained colorectal foreign bodies: predictors of operative intervention. Dis Colon Rectum 2004;47:1694-8.
6. Popa F, Grigoroiu M, Georgescu ME. Intrarectal Foreign Body Detected at CT Scanner Investigating an Abdominal Syndrome. Case Rep Surg 2019;10:9134735.
7. Aras MH, Miloglu O, Barutcugil C, Kantarci M, Ozcan E, Harorli A. Comparison of the sensitivity for detecting foreign bodies among conventional plain radiography, computed tomography and ultrasonography. Dentomaxillofac Radiol 2010;39:72-8.