Rectal foreign body - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T23:55:57Z

Prepared the page for translation

← Older revision		Revision as of 23:55, 4 January 2026
Line 1:		Line 1:
			<languages/>
			<translate>

	==Background==		==Background==

	[[File:Rectum anatomy en.png\|thumb\|Anatomy of the anus and rectum.]]		[[File:Rectum anatomy en.png\|thumb\|Anatomy of the anus and rectum.]]
	[[File:Diameters of the large intestine.png\|thumb\|Average inner diameters and ranges of different sections of the large intestine.<ref> Nguyen H, Loustaunau C, Facista A, Ramsey L, Hassounah N, Taylor H, et al. (July 2010). "Deficient Pms2, ERCC1, Ku86, CcOI in field defects during progression to colon cancer". Journal of Visualized Experiments (41). doi:10.3791/1931. PMC 3149991. PMID 20689513.</ref>]]		[[File:Diameters of the large intestine.png\|thumb\|Average inner diameters and ranges of different sections of the large intestine.<ref> Nguyen H, Loustaunau C, Facista A, Ramsey L, Hassounah N, Taylor H, et al. (July 2010). "Deficient Pms2, ERCC1, Ku86, CcOI in field defects during progression to colon cancer". Journal of Visualized Experiments (41). doi:10.3791/1931. PMC 3149991. PMID 20689513.</ref>]]
Line 6:		Line 10:
	*Make sure that object is not sharp before exam		*Make sure that object is not sharp before exam

			</translate>
	{{FB types}}		{{FB types}}
			<translate>


	==Clinical Features==		==Clinical Features==

	*Rectal pain and/or fullness		*Rectal pain and/or fullness
	*[[Rectal bleeding]]		*[[Special:MyLanguage/Rectal bleeding\|Rectal bleeding]]
	*History of rectal foreign body placement		*History of rectal foreign body placement
	*Most are in the rectal ampulla and therefore palpable on digital examination		*Most are in the rectal ampulla and therefore palpable on digital examination


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Anorectal DDX}}		{{Anorectal DDX}}
			<translate>


	==Evaluation==		==Evaluation==

	[[File:PMC3601006 1749-7922-8-11-1.png\|thumb\|Body spray can in rectum on abdominal plain film.]]		[[File:PMC3601006 1749-7922-8-11-1.png\|thumb\|Body spray can in rectum on abdominal plain film.]]
	[[File:Rectal_fb.JPG\|thumb\|Foreign body noted in rectum on lateral [[abdominal xray]]]]		[[File:Rectal_fb.JPG\|thumb\|Foreign body noted in rectum on lateral [[Special:MyLanguage/abdominal xray\|abdominal xray]]]]
	*[[Abdominal xray]]		*[[Special:MyLanguage/Abdominal xray\|Abdominal xray]]
	**Demonstrate position, shape, and number of foreign bodies		**Demonstrate position, shape, and number of foreign bodies
	**Demonstrates possible presence of free air (perforation of rectum or colon)		**Demonstrates possible presence of free air (perforation of rectum or colon)
Line 27:		Line 41:
	*CT		*CT
	**Useful when foreign body is radiolucent and for detection of small amounts of free air		**Useful when foreign body is radiolucent and for detection of small amounts of free air


	==Management==		==Management==


	===ED removal===		===ED removal===

	''Suitable for non-sharp objects that are in the distal rectum''		''Suitable for non-sharp objects that are in the distal rectum''

	*Consider IV [[sedation]] and [[analgesia]] for larger foreign bodies		*Consider IV [[Special:MyLanguage/sedation\|sedation]] and [[Special:MyLanguage/analgesia\|analgesia]] for larger foreign bodies
	*[[Perianal block]] may be useful to help relax anal sphincter		*[[Special:MyLanguage/Perianal block\|Perianal block]] may be useful to help relax anal sphincter
	*In lithotomy position, suprapubic pressure with DRE and valsalva may deliver object without instrumentation.		*In lithotomy position, suprapubic pressure with DRE and valsalva may deliver object without instrumentation.
	*May also attempt removal in prone knee-to-chest position with the patient bearing down		*May also attempt removal in prone knee-to-chest position with the patient bearing down
	*[[Anoscope]] utilization and direct lighting will often improve visualization of the object if low lying		*[[Special:MyLanguage/Anoscope\|Anoscope]] utilization and direct lighting will often improve visualization of the object if low lying
	*If obstetric forceps needed, patient should bear down as object is extracted.		*If obstetric forceps needed, patient should bear down as object is extracted.
	*Large bulbar objects can create a vacuum-like effect		*Large bulbar objects can create a vacuum-like effect
	**Break vacuum by passing foley behind object, inject air and pull foley out (balloon up)		**Break vacuum by passing foley behind object, inject air and pull foley out (balloon up)
	**Can introduce multiple foley catheters from different angles beyond the object, inflate the balloons, and slowly retract the foleys - using the force to help extract the object.		**Can introduce multiple foley catheters from different angles beyond the object, inflate the balloons, and slowly retract the foleys - using the force to help extract the object.


	===OR Removal===		===OR Removal===

	*Consult surgery for OR removal if:		*Consult surgery for OR removal if:
	**Size, shape, or location of object has potential to injure anal sphincter during removal		**Size, shape, or location of object has potential to injure anal sphincter during removal
	**Attempts at removal in ED fail		**Attempts at removal in ED fail
	**Risk of ischemia, perforation, or if excess manipulation required (risk of bacteremia)		**Risk of ischemia, perforation, or if excess manipulation required (risk of bacteremia)


	===Other Considerations===		===Other Considerations===

	*Consider GI consult for sigmoidoscopy after removal for:<ref>Coskun, A. et al. Management of Rectal Foreign Bodies. World J Emerg Surg. 2013; 8:11.</ref>		*Consider GI consult for sigmoidoscopy after removal for:<ref>Coskun, A. et al. Management of Rectal Foreign Bodies. World J Emerg Surg. 2013; 8:11.</ref>
	**Prolonged retention		**Prolonged retention
	**Object with sharp corner(s)		**Object with sharp corner(s)
	**Toxic appearing patient		**Toxic appearing patient


	===Body Stuffing===		===Body Stuffing===

	*Ingestion of illicit drugs while pursued by law enforcement; usually small quantity		*Ingestion of illicit drugs while pursued by law enforcement; usually small quantity
	*Consider activated charcoal		*Consider activated charcoal
	*Consider whole bowel irrigation if develop toxicity		*Consider whole bowel irrigation if develop toxicity
	*Consider discharge if do not develop toxicity after 4hr obs		*Consider discharge if do not develop toxicity after 4hr obs


	==Disposition==		==Disposition==

	*Consider observation for at least 12hr if concern for rectal perforation		*Consider observation for at least 12hr if concern for rectal perforation


	==See Also==		==See Also==
	*[[Anorectal disorders]]
	*[[Foreign bodies]]		*[[Special:MyLanguage/Anorectal disorders\|Anorectal disorders]]
			*[[Special:MyLanguage/Foreign bodies\|Foreign bodies]]


	==External Links==		==External Links==

	*[https://www.merckmanuals.com/professional/gastrointestinal-disorders/bezoars-and-foreign-bodies/rectal-foreign-bodies?query=Rectal%20Foreign%20Body Merk Manual - Rectal Foreign Bodies]		*[https://www.merckmanuals.com/professional/gastrointestinal-disorders/bezoars-and-foreign-bodies/rectal-foreign-bodies?query=Rectal%20Foreign%20Body Merk Manual - Rectal Foreign Bodies]
	*[http://www.emdocs.net/rectal-foreign-bodies-not-always-a-simple-ed-diagnosis/ emDocs - Rectal Foreign Bodies: Not always a simple ED diagnosis]		*[http://www.emdocs.net/rectal-foreign-bodies-not-always-a-simple-ed-diagnosis/ emDocs - Rectal Foreign Bodies: Not always a simple ED diagnosis]


	==References==		==References==

	<references/>		<references/>

	[[Category:GI]]		[[Category:GI]]
	[[Category:Symptoms]]		[[Category:Symptoms]]
			</translate>

Rossdonaldson1: /* Background */

2025-09-24T21:05:34Z

Background

← Older revision		Revision as of 21:05, 24 September 2025
Line 1:		Line 1:
	==Background==		==Background==
	[[File:Rectum anatomy en.png\|thumb\|Anatomy of the anus and rectum.]]		[[File:Rectum anatomy en.png\|thumb\|Anatomy of the anus and rectum.]]
			[[File:Diameters of the large intestine.png\|thumb\|Average inner diameters and ranges of different sections of the large intestine.<ref> Nguyen H, Loustaunau C, Facista A, Ramsey L, Hassounah N, Taylor H, et al. (July 2010). "Deficient Pms2, ERCC1, Ku86, CcOI in field defects during progression to colon cancer". Journal of Visualized Experiments (41). doi:10.3791/1931. PMC 3149991. PMID 20689513.</ref>]]
	*Injuries may consist of hematoma, lacerations, bowel perforation		*Injuries may consist of hematoma, lacerations, bowel perforation
	*Patients often do not present immediately; prolonged retention increases the chances of complication		*Patients often do not present immediately; prolonged retention increases the chances of complication

Rossdonaldson1: /* Background */

2022-04-23T12:03:59Z

Background

← Older revision		Revision as of 12:03, 23 April 2022
Line 4:		Line 4:
	*Patients often do not present immediately; prolonged retention increases the chances of complication		*Patients often do not present immediately; prolonged retention increases the chances of complication
	*Make sure that object is not sharp before exam		*Make sure that object is not sharp before exam

			{{FB types}}

	==Clinical Features==		==Clinical Features==

Blsimpso: /* ED removal */

2021-08-18T18:28:13Z

ED removal

← Older revision		Revision as of 18:28, 18 August 2021
Line 33:		Line 33:
	*In lithotomy position, suprapubic pressure with DRE and valsalva may deliver object without instrumentation.		*In lithotomy position, suprapubic pressure with DRE and valsalva may deliver object without instrumentation.
	*May also attempt removal in prone knee-to-chest position with the patient bearing down		*May also attempt removal in prone knee-to-chest position with the patient bearing down
	*Anoscope utilization and direct lighting will often improve visualization of the object if low lying		*[[Anoscope]] utilization and direct lighting will often improve visualization of the object if low lying
	*If obstetric forceps needed, patient should bear down as object is extracted.		*If obstetric forceps needed, patient should bear down as object is extracted.
	*Large bulbar objects can create a vacuum-like effect		*Large bulbar objects can create a vacuum-like effect

Blsimpso: /* External Links */

2021-07-16T00:26:06Z

External Links

← Older revision		Revision as of 00:26, 16 July 2021
Line 65:		Line 65:

	==External Links==		==External Links==
	*[https://~~emedicine~~.~~medscape~~.com/~~article~~/~~80963~~-~~overview#showall Medscape~~ - Rectal Foreign ~~Body Removal~~]		*[https://www.merckmanuals.com/professional/gastrointestinal-disorders/bezoars-and-foreign-bodies/rectal-foreign-bodies?query=Rectal%20Foreign%20Body Merk Manual - Rectal Foreign Bodies]
	*[http://www.emdocs.net/rectal-foreign-bodies-not-always-a-simple-ed-diagnosis/ emDocs - Rectal Foreign Bodies: Not always a simple ED diagnosis]		*[http://www.emdocs.net/rectal-foreign-bodies-not-always-a-simple-ed-diagnosis/ emDocs - Rectal Foreign Bodies: Not always a simple ED diagnosis]

Rossdonaldson1: /* Background */

2021-07-07T21:48:36Z

Background

← Older revision		Revision as of 21:48, 7 July 2021
Line 1:		Line 1:
	==Background==		==Background==
	[[File:Rectum anatomy en.png\|thumb]]		[[File:Rectum anatomy en.png\|thumb\|Anatomy of the anus and rectum.]]
	*Injuries may consist of hematoma, lacerations, bowel perforation		*Injuries may consist of hematoma, lacerations, bowel perforation
	*Patients often do not present immediately; prolonged retention increases the chances of complication		*Patients often do not present immediately; prolonged retention increases the chances of complication

Rossdonaldson1: /* Background */

2021-07-07T21:46:39Z

Background

← Older revision		Revision as of 21:46, 7 July 2021
Line 1:		Line 1:
	==Background==		==Background==
			[[File:Rectum anatomy en.png\|thumb]]
	*Injuries may consist of hematoma, lacerations, bowel perforation		*Injuries may consist of hematoma, lacerations, bowel perforation
	*Patients often do not present immediately; prolonged retention increases the chances of complication		*Patients often do not present immediately; prolonged retention increases the chances of complication

Blsimpso at 01:17, 3 July 2021

2021-07-03T01:17:25Z

← Older revision		Revision as of 01:17, 3 July 2021
Line 62:		Line 62:
	*[[Anorectal disorders]]		*[[Anorectal disorders]]
	*[[Foreign bodies]]		*[[Foreign bodies]]

			==External Links==
			*[https://emedicine.medscape.com/article/80963-overview#showall Medscape - Rectal Foreign Body Removal]
			*[http://www.emdocs.net/rectal-foreign-bodies-not-always-a-simple-ed-diagnosis/ emDocs - Rectal Foreign Bodies: Not always a simple ED diagnosis]

	==References==		==References==

ClaireLewis: /* References */

2019-10-20T15:09:02Z

References

← Older revision		Revision as of 15:09, 20 October 2019
Line 67:		Line 67:

	[[Category:GI]]		[[Category:GI]]
			[[Category:Symptoms]]

ClaireLewis at 04:20, 24 September 2019

2019-09-24T04:20:10Z

← Older revision		Revision as of 04:20, 24 September 2019
Line 6:		Line 6:
	==Clinical Features==		==Clinical Features==
	*Rectal pain and/or fullness		*Rectal pain and/or fullness
	*Rectal bleeding		*[[Rectal bleeding]]
	*History of rectal foreign body placement		*History of rectal foreign body placement
	*Most are in the rectal ampulla and therefore palpable on digital examination		*Most are in the rectal ampulla and therefore palpable on digital examination
Line 28:		Line 28:
	''Suitable for non-sharp objects that are in the distal rectum''		''Suitable for non-sharp objects that are in the distal rectum''

	*Consider IV sedation and analgesia for larger foreign bodies		*Consider IV [[sedation]] and [[analgesia]] for larger foreign bodies
	*[[Perianal block]] may be useful to help relax anal sphincter		*[[Perianal block]] may be useful to help relax anal sphincter
	*In lithotomy position, suprapubic pressure with DRE and valsalva may deliver object without instrumentation.		*In lithotomy position, suprapubic pressure with DRE and valsalva may deliver object without instrumentation.