Revista de Gastroenterología de México Revista de Gastroenterología de México
DOI: 10.1016/j.rgmxen.2017.03.011
Clinical image in gastroenterology
Rectal foreign body
Cuerpo extraño rectal
U.G. Rossi, , S. Squarza, M. Cariati
Interventionist Radiology and Radiology Unit, Department of Diagnostic Science, ASST Santi Paolo y Carlo, Hospital San Carlo Borromeo, Milan, Italy

A 55-year-old man came to our emergency department due to acute abdominal pain. During the anamnesis, he stated having a foreign body—a vibrator—in his rectum. Abdominal examination revealed the presence of a mass at the level of the lower abdominal quadrants with no peritoneal signs. Digital rectal examination confirmed the presence of a foreign body. A conventional abdominal x-ray (Figure 1A) and an abdominal computed tomography scan (Figure 1B) demonstrated the presence of a vibrator in the rectosigmoid colon, and it was consequently extracted using a forceps and gentle traction. The post-removal sigmoidoscopy revealed no colorectal injuries.

Figure 1.

(A). Lateral view of a conventional abdominal x-ray that demonstrates the presence of a foreign body with a metal component, inserted into the rectum (arrowheads). (B). Sagittal reconstruction of an abdominal computed tomography scan that confirmed the presence of the foreign body with metal and plastic components, situated inside the rectum (arrowheads).

It is common that patients that arrive at the emergency department with a foreign body in the rectum present with this situation due to transanal insertion of the object as a sexual practice. Rectal foreign bodies are more common in men than in women,1,2 and include such objects as vibrators, bottles, vegetables, fruits, cylindrical objects, and balls. These emergency department patients generally invent unusual stories to explain the presence of the object inside the rectum. Radiologic imaging is crucial for identifying rectal foreign bodies and determining the most appropriate treatment option.3,4

Ethical responsibilitiesProtection of persons and animals

The authors declare that the procedures followed conformed to the ethical standards of the responsible committee on human experimentation and were in accordance with the World Medical Association and the Declaration of Helsinki.

Data confidentiality

The authors declare that no patient data appear in this article.

Right to privacy and informed consent

The authors declare that no patient data appear in this article.

Conflict of interest

The authors declare that there is no conflict of interest.

References
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Case of unusual foreign body in the rectum
Saudi J Gastroenterol., 15 (2009), pp. 131-132 http://dx.doi.org/10.4103/1319-3767.48973
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H. Odagiri,H. Yasunaga,H. Matsui
Difference in outcomes of rectal foreign bodies between males and females: A retrospective analysis of a national inpatient database in Japan
Digestion., 92 (2015), pp. 165-170 http://dx.doi.org/10.1159/000439125
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K.G. Cologne,G.T. Ault
Rectal foreign bodies: What is the current standard?
Clin Colon Rectal Surg., 25 (2012), pp. 214-218 http://dx.doi.org/10.1055/s-0032-1329392
4
T.B. Hunter,M.S. Taljanovic
Foreign bodies
Radiographics., 23 (2003), pp. 731-757 http://dx.doi.org/10.1148/rg.233025137

Please cite this article as: Rossi UG, Squarza S, Cariati M. Cuerpo extraño rectal. Revista de Gastroenterología de México. 2017. http://dx.doi.org/10.1016/j.rgmx.2016.04.008

Corresponding author. Unidad de Radiología Intervencionista y Radiología, Departamento de Ciencia Diagnóstica, ASST Santi Paolo y Carlo, Hospital San Carlo Borromeo, Vía Pio II 3, 20153 Milan, Italy. Tel.: +39 02 40222465; fax: +39 02 40222465.
Copyright © 2017. Asociaci??n Mexicana de Gastroenterolog??a
DOI: 10.1016/j.rgmxen.2017.03.011