Foreign Body In The Rectum

Rectal foreign bodies are usually objects that have been inserted into the rectum, but can be caused by ingestion of objects. Sudden and agonizing pain during defecation can be caused by the penetrating rectal foreign bodies. The diagnosis is made by digital examination and sometimes X-ray. The removal of a rectal foreign body may be risky and should be performed by a surgeon or by a gastroenterologist experienced in the removal of foreign bodies.

Rectal foreign bodies are usually objects that have been inserted into the rectum, but can be caused by ingestion of objects. Sudden and agonizing pain during defecation can be caused by the penetrating rectal foreign bodies. The diagnosis is made by digital examination and sometimes X-ray. The removal of a rectal foreign body may be risky and should be performed by a surgeon or by a gastroenterologist experienced in the removal of foreign bodies.

(See also foreign body in the gastrointestinal tract at a glance.) Rectal foreign bodies are usually objects that have been inserted into the rectum, but can be caused by ingestion of objects. Sudden and agonizing pain during defecation can be caused by the penetrating rectal foreign bodies. The diagnosis is made by digital examination and sometimes X-ray. The removal of a rectal foreign body may be risky and should be performed by a surgeon or by a gastroenterologist experienced in the removal of foreign bodies. Gallstones, faecal stones and ingested foreign body (incl. Toothpick and chicken bones or bones) can get stuck at the anorectal junction. Urinary, vaginal pessaries, surgical sponges or instruments can wander into the rectum. Foreign bodies, sometimes bizarre and / or in connection with sexual games or drug packages that have been introduced in order to hide them from officials, may be intentionally introduced, but inadvertently stall; occasionally a perforation may occur during insertion. Some objects are stopped in the rectal wall, other immediately above the anal sphincter. Symptoms and signs Sudden excruciating pain during defecation arouses the suspicion of a penetrating foreign body, usually or located immediately above the anorectal junction. The presence of free blood indicates that a laceration or perforation has occurred. Other manifestations depend on the size and shape of the foreign body, its residence time in situ and in the incidence of infection or perforation. Digital diagnostic imaging examination Occasionally foreign body stuck in a rule in the middle rectum, where they can not overcome the front angle of the rectum. They can be scanned in digital investigation. A simple X-ray of the abdomen is often helpful to identify an object. An upright radiograph should also be conducted to test for free air in the peritoneum by perforation. CT can identify radiolucent objects that are not seen on routine radiographs. Therapy tooth extraction the removal of a rectal foreign body may be risky and should be performed by a surgeon or by a gastroenterologist experienced in the removal of foreign bodies. An anoscope, Proctoskop and / or speculum may facilitate the direct visualization and removal of rectal foreign bodies. If the foreign body can be felt, inject a local anesthetic, expand the anus with a rectal retractor and try to capture the debris and remove. Örtliche- or general anesthesia is rarely required. If the object is not palpable or can be visualized, not blind trials should be undertaken to remove the foreign object. The peristaltic conveys the debris frequently into middle rectum, so that can then be Attempts to remove. Removal by sigmoidoscopy or Proctoskopie can be tried, but is not always successful. Sometimes displaced sigmoidoscopy the foreign body proximally, further delaying its extraction. If attempts to remove the foreign body, are unsuccessful a laparotomy with mechanical protrusion of the foreign body present in the intestine in the direction of the anus or colotomy for the extraction of the foreign body is rarely necessary. Following the extraction of an endoscopic examination should be performed to rule out severe rectal injury.

Health Life Media Team

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