Unusual rectal foreign body presenting as intestinal obstruction: a case report

Colorectal foreign bodies are infrequently encountered, and are mostly associated with increased incidence of homosexuality and anal auto-erotism. The diagnosis may be confirmed by plain abdominal radiographs and rectal examination, but abdominal computerized tomography can be decisive in the further management. Manual extraction is only possible for very low-lying objects; patients with high-lying foreign bodies usually require a major intervention in the operation theater. An early decision of laparotomy should only be made after subjecting the patient to suitable investigations to determine exactly the localization of the object, in order to avoid any inadvertent damage to the adjoining vasculature as well as anal incontinence. We report the case of a young adult male who presented in the emergency department with an incarcerated, large, neglected rectal foreign body, a ‘bull horn’, causing intestinal obstruction. Emergent laparotomy was required for its removal.

Ýntestinal týkanýklýk þeklinde belirti veren alýþýlmamýþ rektal yabancý cisim: Olgu sunumu

Kolorektal yabancý cisimlere seyrek rastlanmakla birlikte çoðunlukla artan eþcinsellik ve anal otoerotizm insidansý ile iliþkilidir. Taný, düz abdominal grafiler ve rektal inceleme ile doðrulanabilir, ancak bilgisayarlý karýn tomografisi tedavide daha belirleyicidir. Elle çýkarma, yalnýzca çok aþaðý bölgede bulunan nesneler için mümkün olabilir; yukarý bölgede yabancý cisim bulunan hastalar, çoðunlukla ameliyathanede majör bir müdahale gerektirirler. Erken bir laparotomi kararý, nesnenin yerleþimini tam olarak belirlemek, komþu damar yapýlara yönelik elde olmayan herhangi bir hasar ile birlikte anal inkontinansý engellemek üzere yalnýzca hastanýn uygun incelemelere tabi tutulmasýndan sonra yapýlmalýdýr. Bu yazýda, acil servise, sýkýþmýþ, büyük ve ihmal edilmiþ rektal yabancý cisim (boða boynuzu) nedenli baðýrsak týkanmasýyla baþvuran genç bir erkek olgu sunuldu. Yabancý cismin çýkartýlmasý için acil laparotomi yapýldý.