Rectal abscess secondary to foreign body insertion:A case report  

作　　者：Cristina Isabel Martínez-Hincapie Daniel González-Arroyave Carlos M Ardila 

机构地区：[1]Department of Surgery,Pontificia Universidad Bolivariana,Medellín 050031,Antioquia,Colombia [2]Department of Basic Sciences,Faculty of Dentistry Universidad de Antioquia,Medellin 0057,Antioquia,Colombia [3]Department of Periodontics,Saveetha Dental College,and Hospitals,Saveetha Institute of Medical and Technical Sciences,Saveetha University,Saveetha,Saveetha 600077,India

出　　处：《World Journal of Clinical Cases》2025年第18期78-84,共7页世界临床病例杂志(英文)

摘　　要：BACKGROUND Rectal foreign bodies,though uncommon,present diagnostic and therapeutic challenges,particularly when they result from accidental ingestion.The non-specific symptoms and the potential for serious complications necessitate a thorough and methodical approach to diagnosis and treatment.This case report aims to highlight the diagnostic complexities and management strategies involved in treating a patient with a rectal foreign body,focusing on the use of advanced imaging techniques and the importance of a multidisciplinary approach.CASE SUMMARY A 48-year-old male with a history of hypertension presented with a one-year history of post-defecation anorectal pain and mild post-defecation rectorrhagia.Initial evaluation revealed hemodynamic stability and a tender,non-mucosal lesion in the anterior left rectal region.Imaging studies,including colonoscopy,magnetic resonance imaging,and endosonography,identified an erythematous,exophytic lesion and a perirectal abscess containing a foreign body.Surgical inter-vention revealed necrotic tissue and purulent material,along with two solid foreign body fragments(bone or plant matter).Postoperative follow-up showed the patient in good condition,and pathology confirmed the fragments as mature bone.CONCLUSION This case underscores the diagnostic challenges posed by rectal foreign bodies with nonspecific symptoms and no clear history of ingestion.

关 键 词：Rectal foreign bodies ABSCESS ENDOSONOGRAPHY Colonoscopic polypectomy Chronic inflammation Case report 

分 类 号：R73[医药卫生—肿瘤]