2013 Volume 33 Issue 1 Pages 95-98
Bottles are most frequent rectal foreign bodies in Japan. We report a case of transanal intrarectal foreign body extraction using a pneumatic powered drill, Surgairtome II®. A 51-year-old man was admitted to our hospital with a yoghurt bottle that had been inserted via the anus for erotic purposes. He had tried to extract the object through the anus himself, but all efforts had failed. An anorectal examination revealed that the foreign body was stuck 5cm from anal verge. Under spinal anesthesia, manual extraction was attempted, but the extraction efforts were unsuccessful. We made a 5mm hole in the bottom of the bottle with the pneumatic drill, and could remove it smoothly using a pair of right angle forceps. The foreign body was 8cm in width and 9cm in length. The postoperative course was uneventful. Our method is a feasible technique for removing a bottle from the rectum.
