The management of retained rectal foreign body.

The management of retained rectal foreign body. Ann Coloproctol. 2020 Jan 31;: Authors: Kim JH, Choi PW, Um E, Jung SM, Shin YC, Jung SW, Kim JI, Heo TG, Lee MS, Jun H Abstract Purpose: Since insertion of foreign body (FB) into the anus is considered as taboo practice, the patients may impose therapeutic dilemma on attending surgeon. Herein, we performed present study to evaluate the clinical characteristics of patient with retained rectal FB in Koreans, and to suggest management guideline for such cases. Methods: We retrospectively investigated 14 patients between January 2006 and December 2018. We assessed demographic features, mechanism of FB insertion, clinical course between diagnosis and management, and outcomes. Results: All patients were male (mean age, 43) presenting with low abdominal pain (n=2), anal bleeding (n=2), and concerning about retained rectal FB without symptom (n=10). FB insertion was most commonly associated with sexual gratification or anal eroticism (n=11, 78.6%). All patients underwent general anesthesia for anal sphincter relaxation except 2 patients who underwent FB removal in the emergency department. FBs were retrieved transanally using clamp (n=2), myoma screw (n=1), clamp application following abdominal wall compression (n=2), and laparotomy followed by rectosigmoid colon milking (n=2). Colotomy and primary repair were performed in 4 patients and Hartmann. PMID: 32054243 [PubMed - as supplied by publisher]
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research

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Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Clinical Trial Source Type: research
Heterotopic gastric tissue can be found throughout the intestinal tract, and when it is present in the small intestine, it can present with symptoms that include gastrointestinal bleeding, chronic abdominal pain, diarrhea, and chronic dyspepsia. This finding is incredibly rare in pediatrics, but if present, it can lead to significant morbidity and mortality. This can be especially true if a patient presents with a comorbidity of a bleeding disorder. We here present the case of a teenage male with a history of severe factor VII deficiency who was found to have iron deficiency anemia resulting in multiple blood transfusions ...
Source: Case Reports in Gastroenterology - Category: Gastroenterology Source Type: research
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Source: Seminars in Reproductive Medicine - Category: Reproduction Medicine Authors: Tags: Review Article Source Type: research
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Source: Dermatology Online Journal - Category: Dermatology Source Type: research
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Source: Reviews on Recent Clinical Trials - Category: Cancer & Oncology Authors: Tags: Rev Recent Clin Trials Source Type: research
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Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
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Source: Revue de Medecine Interne - Category: Internal Medicine Tags: Rev Med Interne Source Type: research
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Source: Anaesthesia, Critical Care and Pain Medicine - Category: Anesthesiology Source Type: research
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