The perforation was treated by primary suture and proximal colostomy. Routine rectosigmoidoscopic examination was performed in all patients after object removal. and 4 had lacerations of the mucosa in the rectum. The postextraction radiological evaluation by abdominal X-ray did not show any pneumoperiteneum or retained foreign body. Oral feeding was started after rectal bleeding was stopped, and patient was stabilized. The patients were discharged up on complete clinical improvement. There

was no mortality. Figure 1 Rectal ımpulse body spray can on abdominal plain film. Discussion Colorectal foreign bodies are not an uncommon presentation to the emergency or colorectal this website surgical department. Although retained rectal foreign bodies have been reported in patients of all ages, and ethnicities, more than two-thirds of patients with rectal bodies are men in their 30 s and 40 s, Volasertib datasheet and patients as old as 90 years were also reported [4]. However, there is a bimodal age distribution, observed in the twenties for anal erotism or forced introduction through anus, and in the sixties mainly for prostatic massage and breaking fecal impactions [3]. Males are commonly affected

[3, 5]. A useful classification of rectal foreign bodies has been to categorize them as voluntary versus involuntary and sexual versus nonsexual. One of the most common category of rectal foreign bodies is objects that are inserted voluntarily and for sexual stimulation.The foreign bodies commonly reported were plastic or glass bottles, cucumbers, carrots, wooden, or rubber objects. Other objects reported are bulb, tube light, axe handle, broomstick, vibrators,dildos,a turkey buster,utensils, Christmas GSK621 molecular weight ornaments [3–5]. Involuntary

sexual foreign bodies are almost exclusively in the domain of rape and sexual assault. One of the most common type of rectal foreign body is best known as body packing and is Depsipeptide price commonly used by drug traffickers [4]. Involuntary nonsexual foreign bodies are generally found in the elderly, children, or the mentally ill. The objects are usually retained thermometers and enema tips; aluminum foil wrapping from pill containers; and orally ingested objects, such as tooth picks, chicken bones, plastic objects such as erasers or pill bottle caps, and even coins or small plastic toys [4]. The objects can cause severe injury. Therefore, all retained rectal foreign bodies should be treated as potentially hazardous [4]. They may complain of vague abdominal pain, rectal bleeding or pain and sometimes constipation [3–5]. Signs of infection or perforation may be evident in complicated cases. Physical examination should include a careful abdominal examination to assess for signs of peritonitis or the ability to palpate an object transabdominally. The rectal foreign body can be palpated in either the left or right lower quadrant of the abdomen.