Foreign Body, Rectal

Foreign Body, Rectal is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

  • Self-insertion (autoeroticism):
    • Phallic substitutes inserted by patient or partner
    • Usually men aged 20–40 yr, with male to female ratio 20:1
  • Ingested objects lodged in rectum:
    • Chicken bones
    • Fish bones
    • Toothpick
  • Iatrogenic accidental:
    • Thermometer
    • Enema tips
    • Foreign bodies (FBs) used to aid in removal of feces
  • Assault:
    • Knife or pipe forcibly inserted
    • Incidence of perforation is very high.
  • Concealment:
    • Body packing, “mules” illegally transporting drugs

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