Rectal Foreign Body of Eggplant Treated Successfully by Endoscopic Transanal Removal

Hiroo Sei, Toshihiko Tomita, Keisuke Nakai, Kumiko Nakamura, Akio Tamura, Yoshio Ohda, Tadayuki Oshima, Hirokazu Fukui, Jiro Watari, Hiroto Miwa, Hiroo Sei, Toshihiko Tomita, Keisuke Nakai, Kumiko Nakamura, Akio Tamura, Yoshio Ohda, Tadayuki Oshima, Hirokazu Fukui, Jiro Watari, Hiroto Miwa

Abstract

Transanal rectal foreign body implies that a foreign body has been inserted transanally due to sexual orientation or other reasons and cannot be removed. Such cases require emergency measures because foreign bodies often present difficulties in manual removal or endoscopic removal and may even require surgery when peritonitis due to gastrointestinal perforation occurs. We report a patient in our hospital who had a rectal foreign body inserted into the deep part of the proctosigmoid that could be removed endoscopically. A 66-year-old man visited our hospital because of an eggplant which had been inserted into his rectum by his friend and could not be removed. Since plain abdominal computed tomography showed a foreign body thought to be an eggplant in the proctosigmoid, the foreign body was captured and removed with a snare under lower gastrointestinal endoscope guidance.

Keywords: Eggplant; Endoscopic treatment; Rectal foreign body.

Figures

Fig. 1.
Fig. 1.
Computed tomography view of the rectal foreign body of the eggplant. a Foreign body in the coronal section. b Computed tomography view showing the rectal foreign body of the eggplant in the sagittal section.
Fig. 2.
Fig. 2.
Endoscopic view of the rectal foreign body of the eggplant. a The rectal foreign body of the eggplant was located in the deep part of the proctosigmoid. b The constriction of the calyx was grasped with a snare and was removed slowly. c Removed rectal foreign body of the eggplant.

References

    1. Cologne KG, Ault GT. Rectal foreign bodies: what is the current standard? Clin Colon Rectal Surg. 2012 Dec;25((4)):214–218.
    1. Glaser J, Hack T, Rübsam M. Unusual rectal foreign body: treatment using argon-beam coagulation. Endoscopy. 1997 Mar;29((3)):230–231.
    1. Billi P, Bassi M, Ferrara F, Biscardi A, Villani S, Baldoni F, et al. Endoscopic removal of a large rectal foreign body using a large balloon dilator: report of a case and description of the technique. Endoscopy. 2010;42((Suppl 2)):E238.
    1. van der Wouden EJ, Westerveld BD. Extraction of a rectal foreign body using a custom-made giant snare. Endoscopy. 2010;42((Suppl 2)):E122.
    1. Yönem Ö, Ataseven H. Endoscopic removal of an iatrogenically induced rectal foreign body. Turk J Gastroenterol. 2011;22((2)):228–229.
    1. Sayılır A, Düzgün IN, Güvendi B. Treatment of unusual rectal foreign body using a Foley catheter. Endoscopy. 2014;46((Suppl 1 UCTN)):E182–E183.
    1. Yılmaz B, Ozmete S, Altınbas A, Aktaş B, Ekiz F. Successful removal of an unusual rectal foreign body with a Kocher clamp. Endoscopy. 2014;46((Suppl 1 UCTN)):E549.
    1. Lim KJ, Kim JS, Kim BG, Park SM, Ji JS, Kim BW, et al. Removal of Rectal Foreign Bodies Using Tenaculum Forceps Under Endoscopic Assistance. Intest Res. 2015 Oct;13((4)):355–359.
    1. Silva M, Albuquerque A, Ribeiro A, Cardoso H, Macedo G. Overtube-guided endoscopic extraction of a rectal foreign body: lifting not only the embargo. Endoscopy. 2015;47((Suppl 1)):E563–E564.
    1. Lin XD, Wu GY, Li SH, Wen ZQ, Zhang F, Yu SP. Removal of a large foreign body in the rectosigmoid colon by colonoscopy using gastrolith forceps. World J Clin Cases. 2016 May;4((5)):135–137.

Source: PubMed

3
Abonnieren