Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
Online ISSN : 1882-4781
Print ISSN : 1340-2242
ISSN-L : 1340-2242
Two Cases of Rectal Foreign Bodies Removed by Transanal Manual Extraction Under Spinal Anesthesia
Yoshiaki KanayaShinsuke HashidaTetsuya FujiiShuichiro MaruyamaNobuji Yokoyama
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2008 Volume 28 Issue 7 Pages 947-951

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Abstract

Cases of transanal rectal foreign bodies are comparatively rare and mostly caused accidentally by the escalation of eroticism. We report on two cases of transanal rectal foreign bodies in middle-aged and elderly men. Case1 : A 71-year-old man was admitted to our hospital complaining of a rectal foreign body inserted by himself. The foreign body was a wooden pestle and removed by manual extraction transanally under spinal anesthesia. Case2 : A 55-year-old man complaining of a rectal foreign body was referred to the hospital. The foreign body was a juice can, and it was removed by the same procedure as in the Case 1. The foreign bodies could not be removed at the outpatient clinic because of anal pain and intestinal edema in both cases, but could be removed transanally by manual extraction under spinal anesthesia. We conclude that manual extraction via the transanal approach under spinal anesthesia is a useful procedure for removing transanal rectal foreign bodies.

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© 2008 Japanese Society for Abdominal Emergency Medicine
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