Operative Treatment with a Laparotomy for Anorectal Problems Arising from a Self-Inserted Foreign Body.
10.3393/jksc.2012.28.1.56
- Author:
Seung Bum RYOO
1
;
Heung Kwon OH
;
Heon Kyun HA
;
Eun Kyung CHOE
;
Sang Hui MOON
;
Kyu Joo PARK
Author Information
1. Division of Colorectal Surgery, Department of Surgery, Seoul National University College of Medicine, Seoul, Korea. kjparkmd@plaza.snu.ac.kr
- Publication Type:Case Report
- Keywords:
Anal canal;
Foreign bodies;
Laparotomy
- MeSH:
Abscess;
Anal Canal;
Colon;
Colon, Sigmoid;
Colostomy;
Foreign Bodies;
Laparotomy;
Masturbation;
Peritonitis;
Plastics;
Rectum
- From:Journal of the Korean Society of Coloproctology
2012;28(1):56-60
- CountryRepublic of Korea
- Language:English
-
Abstract:
An anorectal foreign body can cause serious complications such as incontinence, rectal perforation, peritonitis, or pelvic abscess, so it should be managed immediately. We experienced two cases of operative treatment for a self-inserted anorectal foreign body. In one, the foreign body could not be removed as it was completely impacted in the anal canal. We failed to remove it through the anus. A laparotomy and removal of the foreign body was performed by using an incision on the rectum. Primary colsure and a sigmoid loop colostomy were done. A colostomy take-down was done after three months. The other was a rectal perforation from anal masturbation with a plastic device. We performed primary repair of the perforated rectosigmoid colon, and we didea sigmoid loop colostom. A colostomy take-down was done three months later. Immediate and proper treatment for a self-inserted anorectal foreign body is important to prevent severe complications, and we report successful surgical treatments for problems caused by anorectal foreign bodies.
