Abstract
We describe 2 patients with large transanal foreign bodies. Patient 1: A 65-year-old man consulted our hospital because of anal and abdominal pain. A plain abdominal radiograph revealed a steel wire in lower abdomen. Computed tomography showed free air, a shoehorn in the sigmoid colon, and a steel wire penetrating the sigmoid colon wall. Emergency surgery was performed, and a steel wire was found to penetrate the sigmoid colon wall and enter the peritoneal cavity. A shoehorn was found in the sigmoid colon. Both objects were removed transanally. The perforated colon was resected. The patient was discharged on the 13th postoperative day. Patient 2: A 58-year-old man presented with a rectal foreign body. Computed tomography revealed a bar-shaped object, extending from the rectum to sigmoid colon, without intestinal perforation. The object was removed using a forceps under lumbar epidural? anesthesia. The patient was discharged on the first postoperative day. Conclusions: Transanal foreign bodies should be carefully treated on the basis of medical history, abdominal findings, and diagnostic imaging studies, because such patients may present with only mild abdominal symptoms.
