Colonoscopy-assisted removal of an impaction foreign body at the rectosigmoid junction: A case report  

作　　者：Peng-Fei Zhou Jin-Gen Lu Jia-Dong Zhang Jia-Wen Wang 

机构地区：[1]Department of Anorectal Surgery,Longhua Hospital Shanghai University of Traditional Chinese Medicine,Shanghai 200000,China

出　　处：《World Journal of Clinical Cases》2024年第11期1990-1995,共6页世界临床病例杂志

基　　金：National Natural Science Foundation of China Project,No.82004374;The Second Round of Construction Project of National TCM Academic Schools Inheritance Workshop of the State Administration of Traditional Chinese Medicine,No.[2019]62.

摘　　要：BACKGROUND When an anorectal foreign body is found,its composition and shape should be evaluated,and a timely and effective treatment plan should be developed based on the patient's symptoms to avoid serious complications such as intestinal perforation caused by displacement of the foreign body.CASE SUMMARY A 54-year-old male was admitted to our outpatient clinic on June 3,2023,due to a rectal foreign body that had been embedded for more than 24 h.The patient reported using a glass electrode tube to assist in the recovery of prolapsed hemorrhoids,however,the electrode tube was inadvertently inserted into the anus and could not be removed by the patient.During hospitalization,the patient underwent surgery,and the foreign body was dragged into the rectum with the aid of colonoscopy.The anus was dilated with a comb-type pulling hook and an anal fistula pulling hook to widen the anus and remove the foreign body,and the local anal symptoms were then relieved with topical drugs.The patient was allowed to eat and drink,and an entire abdominal Computed tomography(CT)and colonoscopy were reviewed 3 d after surgery.CT revealed no foreign body residue and colonoscopy showed no metal or other residues in the colon and rectum,and no apparent intestinal tract damage.CONCLUSION The timeliness and rationality of the surgical and therapeutic options for this patient were based on a literature review of the clinical signs and conceivable conditions in such cases.The type,material and the potential risks of rectal foreign bodies should be considered.

关 键 词：Foreign body impaction Surgical therapy Rectum-sigmoid colon COLONOSCOPY Case report 

分 类 号：R779.14[医药卫生—眼科]