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. 2016 Oct 27;8(10):679-684.
doi: 10.4240/wjgs.v8.i10.679.

Increasing trend in retained rectal foreign bodies

Abraham A Ayantunde  1 , Zynep Unluer  1
Affiliations

Increasing trend in retained rectal foreign bodies

Abraham A Ayantunde et al. World J Gastrointest Surg. .

Abstract

Aim: To highlight the rising trend in hospital presentation of foreign bodies retained in the rectum over a 5-year period.

Methods: Retrospective review of the cases of retained rectal foreign bodies between 2008 and 2012 was performed. Patients' clinical data and yearly case presentation with data relating to hospital episodes were collected. Data analysis was by SPSS Inc. Chicago, IL, United States.

Results: Twenty-five patients presented over a 5-year period with a mean age of 39 (17-62) years and M: F ratio of 2:1. A progressive rise in cases was noted from 2008 to 2012 with 3, 4, 4, 6, 8 recorded patients per year respectively. The majority of the impacted rectal objects were used for self-/partner-eroticism. The commonest retained foreign bodies were sex vibrators and dildos. Ninty-six percent of the patients required extraction while one passed spontaneously. Two and three patients had retrieval in the Emergency Department and on the ward respectively while 19 patients needed examination under anaesthesia for extraction. The mean hospital stay was 19 (2-38) h. Associated psychosocial issues included depression, deliberate self-harm, illicit drug abuse, anxiety and alcoholism. There were no psychosocial problems identified in 15 patients.

Conclusion: There is a progressive rise in hospital presentation of impacted rectal foreign bodies with increasing use of different objects for sexual arousal.

Keywords: Eroticism; Examination under anaesthesia; Psychosocial issues; Rectal foreign bodies; Rigid sigmoidoscopy.

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Conflict of interest statement

Conflict-of-interest statement: Authors declare that they have no conflict of interest.

Figures

Figure 1
Figure 1
Line chart showing progressive rise in the number of cases over a 5-year period.
Figure 2
Figure 2
Algorithm for management of retained rectal foreign bodies.
See this image and copyright information in PMC

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