Rectal Foreign Body Successfully Removed by Colonoscopic Snare Wire

Abstract

Aim: The most common cause of rectal foreign bodies are objects used for sexual stimulation voluntarily by the patient. Different treatment methods are reported in the literature, and this article reports the transanal removal of the foreign body in the rectum with a snare wire without anesthesia, accompanied by colonoscopy. Case: An 80-year-old male patient was admitted to the emergency room because of the plastic rectal shower head that remained in the rectum and could not be removed while he was using a rectal douche for constipation. Contrast-enhanced abdominal computed tomograpyh (CT) showed a foreign body located in the rectosigmoid region without perforation findings. 12x1,5 cm tubular, well-circumscribed plastic foreign body embedded in the stool was removed with the help of colonoscopy in a controlled manner by holding it from its distal end with the help of endoscopic snare wire. Conclusion: Rectal foreign bodies can often be removed by the patient. However, in cases of foreign bodies in the rectum admitted to the hospital, the treatment method varies according to the type and location of the object, the occurrence of the event, and whether there are perforation findings in physical examination and imaging. Digital rectal examination is the critical first step in evaluating a patient with a rectal foreign body. Bedside extraction as the first-line treatment for low-lying anorectal foreign bodies without signs of perforation; endoscopic extraction is recommended as the first step in anorectal foreign bodies located high above the rectosigmoid junction. Because in cases without perforation, transanal removal of the foreign body is considered the first-line treatment and the success rate is approximately 75 %. The most essential condition for successful transanal removal of the foreign body in the rectum is the relaxation of the patient. Endoscopic examination is also recommended to evaluate the condition of the intestinal wall after the removal of the foreign body. In our case, we also removed the foreign body, which we found to be located in the middle rectum, in accordance with the literature, endoscopically.