Rectal Foreign Body Causing Perforation: A Case Report

Nischal Shrestha, N. Belbase, Sushim Bhujel, Sagar Khatiwada, Binaya Timilsina, Nishnata Koirala
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Abstract

The rectal foreign body is a rare presentation with rising incidence. We present a case of a 26-year-old heterosexual male with an alleged history of sexual assault with insertion of a large foreign body through the anus two days prior with peritonitis. After investigations, the patient underwent an exploratory laparotomy, foreign body removal, primary repair of perforation with a diverting colostomy. Diversion must be considered in cases where the extent of anal sphincter mechanism injury is in question. The patient had a good outcome. Assessment of the shape, size, nature, and location of the object through appropriate imaging is necessary. Exploratory laparotomy is inevitable in cases of perforation.
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直肠异物致穿孔1例
直肠异物是一种罕见的表现,发病率不断上升。我们报告了一例26岁的异性恋男性,据称有性侵史,两天前通过肛门插入一个大异物并伴有腹膜炎。经过调查,患者接受了剖腹探查、异物清除、一期结肠造口术修复穿孔。在肛门括约肌机制损伤程度有疑问的情况下,必须考虑分流。这个病人有一个好的结果。通过适当的成像来评估物体的形状、大小、性质和位置是必要的。剖腹探查术在穿孔的情况下是不可避免的。
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发文量
40
审稿时长
6 weeks
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