Techniques in Coloproctology

, Volume 17, Issue 1, pp 13–20 | Cite as

Approach to the diagnosis and management of retained rectal foreign bodies: clinical update

  • A. A. AyantundeEmail author


Retained rectal foreign body is not an uncommon condition, but reliable epidemiological data are not available. The diagnosis and management can present a significant challenge due to delayed presentation and the reluctance of the patients to provide details of the incident. The aim of the clinical evaluation is to identify the type, number, size, shape and location of the foreign body. Removal of retained rectal foreign bodies requires experience, with particular attention to different methods of extracting various objects. Most retained rectal foreign bodies can be successfully extracted transanally under appropriate anaesthesia and only a small proportion, mostly cases of perforation, overt peritonitis, pelvic sepsis or for failure of transanal extraction, will require open surgery or laparoscopy. It is mandatory to perform a proctosigmoidoscopy after anorectal foreign body removal to exclude bowel injury and ensure that the patient has not inserted more than one foreign body. Patients with mucosal abrasion, tears and oedema are to be admitted for a period of observation.


Rectal foreign bodies Eroticism Plain radiographs Transanal removal Proctosigmoidoscopy Laparoscopy Laparotomy 


Conflict of interest



  1. 1.
    Ayantunde AA, Oke T (2006) A review of gastrointestinal foreign bodies. Int J Clin Pract 60:735–739PubMedCrossRefGoogle Scholar
  2. 2.
    Cohen JS, Sackier JM (1996) Management of colorectal foreign bodies. J R Coll Surg Edinb 41:312–315PubMedGoogle Scholar
  3. 3.
    Eftaiha M, Hambrick E, Abcarian H (1997) Principles of management of colorectal foreign bodies. Arch Surg 112:691–695CrossRefGoogle Scholar
  4. 4.
    Clarke DL, Buccimazza I, Anderson FA, Thomson SR (2005) Colorectal foreign bodies. Colorectal Dis 7:98–103PubMedCrossRefGoogle Scholar
  5. 5.
    Stack LB, Munter DW (1996) Foreign bodies in the gastrointestinal tract. Emerg Med Clin North Am 14:493–521PubMedCrossRefGoogle Scholar
  6. 6.
    Goldberg JE, Steele SR (2010) Rectal foreign bodies. Surg Clin North Am 90:173–184PubMedCrossRefGoogle Scholar
  7. 7.
    Rodriguez-Hermosa JI, Codina-Cazador A, Ruiz B, Sirvent JM, Roig J, Farres R (2007) Management of foreign bodies in the rectum. Colorectal Dis 9:543–548PubMedCrossRefGoogle Scholar
  8. 8.
    Lake JP, Essani R, Petrone P, Kaiser AM, Asensio J, Beart RW Jr (2004) Management of retained colorectal foreign bodies: predictors of operative intervention. Dis Colon Rectum 47:1694–1698PubMedCrossRefGoogle Scholar
  9. 9.
    Smith MT, Wong RK (2007) Foreign bodies. Gastrointest Endosc Clin N Am 17:361–382PubMedCrossRefGoogle Scholar
  10. 10.
    Berghoff KR, Franklin ME Jr (2005) Laparoscopic-assisted rectal foreign body removal: report of a case. Dis Colon Rectum 48:1975–1977PubMedCrossRefGoogle Scholar
  11. 11.
    Koornstra JJ, Weersma RK (2008) Management of rectal foreign bodies: description of a new technique and clinical practice guidelines. World J Gastroenterol 14:4403–4406PubMedCrossRefGoogle Scholar
  12. 12.
    Traub SJ, Hoffman RS, Nelson LS (2003) Body packing—the internal concealment of illicit drugs. N Engl J Med 349:2519–2526PubMedCrossRefGoogle Scholar
  13. 13.
    Huang WC, Jiang JK, Wang HS et al (2003) Retained rectal foreign bodies. J Chin Med Assoc 66:606–611Google Scholar
  14. 14.
    Kurer MA, Davey C, Khan S, Chintapatla S (2010) Colorectal foreign bodies: a systematic review. Colorectal Dis 12:851–861PubMedCrossRefGoogle Scholar
  15. 15.
    Nehme Kingsley A, Abcarian H (1985) Colorectal foreign bodies: management update. Dis Colon Rectum 28:941–944PubMedCrossRefGoogle Scholar
  16. 16.
    Cirocco WC (2000) Anesthesia facilitates the extraction of rectal foreign bodies. Gastrointest Endosc 52:452–453PubMedCrossRefGoogle Scholar
  17. 17.
    Levin SE, Cooperman H, Freilich M, Lomas M (1977) The use of a curved uterine vulsellum for removal of rectal foreign bodies: report of a case. Dis Colon Rectum 20:533Google Scholar
  18. 18.
    Couch CJ, Tan EG, Watt AG (1986) Rectal foreign bodies. Med J Aust 144:512–515PubMedGoogle Scholar
  19. 19.
    Sharma H, Banka S, Walton R, Memon MA (2007) A novel technique for nonoperative removal of round rectal foreign bodies. Tech Coloproctol 11:58–59PubMedCrossRefGoogle Scholar
  20. 20.
    Manimaran N, Shorafa M, Eccersley J (2009) Blow as well as pull: an innovative technique for dealing with a rectal foreign body. Colorectal Dis 11:325–326PubMedCrossRefGoogle Scholar
  21. 21.
    Rispoli G, Esposito C, Monachese TD, Armellino M (2000) Removal of a foreign body from the distal colon using a combined laparoscopic and endoanal approach: report of a case. Dis Colon Rectum 43:1632–1634PubMedCrossRefGoogle Scholar
  22. 22.
    Han HJ, Joung SY, Park SH, Min BW, Um JW (2012) Transanal rectal foreign body removal using SILS port. Surg Laparosc Endosc Percutan Tech 22:157–158CrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  1. 1.Department of Surgery, Colorectal UnitSouthend University HospitalEssexUK

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