Abstract
PURPOSE: Rectal foreign bodies can be extracted by non-surgical methods. However, glass objects require technical considerations to minimize morbidity and may necessitate surgical extraction. We describe a technique that allowed safe transanal extraction of a glass foreign body and avoided laparotomy. METHODS: A patient with a history of a previous rectal foreign body that required laparotomy presented with another incarcerated rectal foreign body. After attempts at manual extraction failed, spinal anesthesia was induced, and an obstetric vacuum extractor was used to transanally withdraw the glass foreign body. RESULTS: The glass foreign body was withdrawn uneventfully using the vacuum extractor. Laparotomy was avoided. The patient was hospitalized for observation and discharged 24 hours later. CONCLUSIONS: Use of the delivery vacuum extractor provided a safe, cost-effective method of glass foreign body removal by the transanal route. Literature review found no other reports of rectal foreign body removal by this method.
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References
Busch DB, Starling JR. Rectal foreign bodies: case reports and a comprehensive review of the world's literature. Surgery 1986;100:512–9.
Nehme Kingsley A, Abcarian H. Colorectal foreign bodies: management update. Dis Colon Rectum 1985;28:941–4.
Eftaiha M, Hambrick E, Abcarian H. Principles of management of colorectal foreign bodies. Arch Surg 1977;112:691–5.
Rebell FG. Problems of foreign bodies in the colon and rectum. Am J Surg 1948;76:678–86.
Hoitsma HF, Meijer S, De Jong D. The transsphincteric approach for removal of a huge foreign body from the rectum. Neth J Surg 1984;36:83–4.
Vadlamundi KK, Van Bockstaele PG, McManus JE. Foley catheter in removal of a foreign body from rectum. JAMA 1972;221:1412.
Hughes JP, Marice HP, Gathright JB Jr. Method of removing a hollow object from the rectum. Dis Colon Rectum 1976;19:44–5.
Peet TN. Removal of impacted rectal foreign body with obstetric forceps. BMJ 1976;1:500–1.
Sachdev YV. An unusual foreign body in the rectum. Dis Colon Rectum 1967;10:220–1.
Malmstrom T. Vacuum extractor: an obstetrical instrument. Acta Obstet Gynecol Scand 1954;33:1–2.
Lucas MJ. The role of vacuum extraction in modern obstetrics. Clin Obstet Gynecol 1994;37:794–805.
Sultan AH, Kamm MA, Bartram CI, Hudson CN. Anal sphincter trauma during instrumental delivery. Int J Gynaecol Obstet 1993;43:263–70.
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Read at the meeting of the Ohio Valley Society of Colon and Rectal Surgeons, Cleveland, Ohio, June 2 to 3, 1995.
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Johnson, S.O., Hartranft, T.H. Nonsurgical removal of a rectal foreign body using a vacuum extractor. Dis Colon Rectum 39, 935–937 (1996). https://doi.org/10.1007/BF02053994
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DOI: https://doi.org/10.1007/BF02053994