Retained rectal foreign bodies by trans-anal introduction. Case report

• Published in: Il Giornale di chirurgia Vol. 30; no. 10; pp. 445 - 453
• Main Authors: Angiò, L G, Bonsignore, A, Centorrino, T, Faro, G, Soliera, M, Spagnolo, I D, Molino, E, Putortì, A, Licursi, M
• Format: Journal Article
• Language: Italian
• Published: Italy 01.10.2009
• Subjects: Adult; Foreign Bodies - diagnostic imaging; Humans; Male; Middle Aged; Radiography; Rectum
• ISSN: 0391-9005

The Authors refer about two cases of retained rectal foreign bodies by trans-anal introduction as consequence of anal eroticism: a deodorant aerosol-can cap and a sizeable phallic object. These reports represent an occasion to talk about the etiology (the wide variety of foreign bodies) and the motivations (eroticism or sadism, clumsy diagnostic and therapeutic procedures, true or presume accidents) responsible for this pathological condition and to consider every therapeutic options employed during the past years, without forgetting that, despite difficulties, non-surgical extraction is to prefer, if possible, because of the negative prognostic implications often related to the surgical treatment. The Authors finally confirm, because of the severity of this pathological condition - with negative outcomes especially in that cases with complete or incomplete perforative complications (produced during introduction through the anus or during several attempts of extraction of the object or caused by its long staying in the rectum because of the patient's denial of medical care) - the surgeons can't put aside possible indication for surgical treatment.