Rectal Foreign Body Management: 22 Years of Experience

Kazım Gemici; Hüsnü Çağrı Genç; Ayhan Sarıtaş

TR EN

REKTAL YABANCI CİSİMLERİN YÖNETİMİ: 22 YILLIK DENEYİM

Abstract

Rektal yabancı cisim (RFB) acil serviste nadiren karşılaşılan bir klinik tablodur ancak çoğunluğunu erkekler oluşturmaktadır. Bu nesnelerin ağızdan ve anal yoldan alınmasının en yaygın nedeninin istemli cinsel uyarılma olduğu bilinmektedir. Bu hastalar genellikle 20-40 yaş arası cinsel açıdan aktif hastalardır. Bu çalışmada sadece anal bölgeye yerleştirilen rektal yabancı cisimleri değerlendirmeyi ve kendi deneyimimiz ve literatürümüzle bu hastalara bir yönetim stratejisi sunmayı amaçladık. Çalışmamıza 2002-2024 yılları arasında acil servise başvuran ve sadece anal bölgeye yerleştirilen toplam 15 RFB vakası dahil edildi. Çıkarılan nesneler; 6 kozmetik obje, 4 soda şişesi, 3 sebze ve 2 bardak. Hastalarımızın yaklaşık ¾’ünün nedeni cinsel uyarılmaydı. RFB'nin 9'u (%60) anal, 5'i (%33,3) laparotomi ve bağırsak sağımı ile anüse yaklaştırılarak anal çıkarıldı. 1 (%0,66) hastada laparotomi ve kolotomi primer onarımı yapılarak cisim çıkarıldı. RFB tutulması alışılmadık bir klinik tablo olmasına rağmen kolorektal cerrahlar farklı ekstraksiyon yöntemlerine aşina olmalıdır. Hastaların psikolojik travma yaşadığı da akılda tutulmalı ve hastalara yargılayıcı olmayan bir yaklaşımla yaklaşılmalıdır.

Keywords

Rectal Foreign Body Management: 22 Years of Experience

Abstract

Rectal foreign body (RFB) is a clinical picture rarely encountered in the emergency department, but the majority of them are men. It is known that the most common reason for these objects taken orally and anally is for voluntary sexual stimulation. These patients are usually sexually active patients between the ages of 20-40. In this study, we aimed to evaluate only rectal foreign bodies placed in the anal region and to present a management strategy for these patients with our own experience and literature. A total of fifteen RFB cases that applied to the emergency department between 2002-2024 and were placed only in the anal region were included in our study. The objects removed were; 6 cosmetic objects, 4 soda bottles, 3 vegetables, and 2 glasses. The reason for approximately ¾ of our patients was sexual stimulation. 9 (60%) of RFB were removed anal, 5 (33.3%) were removed anal with laparotomy and bowel milking by bringing the object closer to the anus. In 1 (0.66%) patient, the object was removed by performing laparotomy and colotomy primary repair. Although RFB retention is an unusual clinical presentation, colorectal surgeons should be familiar with different extraction methods. It should also be kept in mind that patients experience psychological trauma and a nonjudgmental approach should be followed with patients.

Keywords

References

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Details

Primary Language

English

Subjects

Implementation Science and Evaluation

Journal Section

Research Article

Authors

Kazım Gemici
0000-0001-8815-0246
Türkiye

Hüsnü Çağrı Genç ^*
0000-0001-6963-2805
Türkiye

Ayhan Sarıtaş
0000-0002-4302-1093
Türkiye

Publication Date

June 21, 2025

Submission Date

January 7, 2025

Acceptance Date

June 19, 2025

Published in Issue

Year 2025 Volume: 47 Number: 2

IZ

https://izlik.org/JA45LW48ZJ

Cite

RIS / Bibtex

APA

Gemici, K., Genç, H. Ç., & Sarıtaş, A. (2025). Rectal Foreign Body Management: 22 Years of Experience. Cumhuriyet Medical Journal, 47(2), 5-9. https://izlik.org/JA45LW48ZJ

AMA

1.Gemici K, Genç HÇ, Sarıtaş A. Rectal Foreign Body Management: 22 Years of Experience. CMJ. 2025;47(2):5-9. https://izlik.org/JA45LW48ZJ

Chicago

Gemici, Kazım, Hüsnü Çağrı Genç, and Ayhan Sarıtaş. 2025. “Rectal Foreign Body Management: 22 Years of Experience”. Cumhuriyet Medical Journal 47 (2): 5-9. https://izlik.org/JA45LW48ZJ.

EndNote

Gemici K, Genç HÇ, Sarıtaş A (June 1, 2025) Rectal Foreign Body Management: 22 Years of Experience. Cumhuriyet Medical Journal 47 2 5–9.

IEEE

[1]K. Gemici, H. Ç. Genç, and A. Sarıtaş, “Rectal Foreign Body Management: 22 Years of Experience”, CMJ, vol. 47, no. 2, pp. 5–9, June 2025, [Online]. Available: https://izlik.org/JA45LW48ZJ

ISNAD

Gemici, Kazım - Genç, Hüsnü Çağrı - Sarıtaş, Ayhan. “Rectal Foreign Body Management: 22 Years of Experience”. Cumhuriyet Medical Journal 47/2 (June 1, 2025): 5-9. https://izlik.org/JA45LW48ZJ.

JAMA

1.Gemici K, Genç HÇ, Sarıtaş A. Rectal Foreign Body Management: 22 Years of Experience. CMJ. 2025;47:5–9.

MLA

Gemici, Kazım, et al. “Rectal Foreign Body Management: 22 Years of Experience”. Cumhuriyet Medical Journal, vol. 47, no. 2, June 2025, pp. 5-9, https://izlik.org/JA45LW48ZJ.

Vancouver

1.Kazım Gemici, Hüsnü Çağrı Genç, Ayhan Sarıtaş. Rectal Foreign Body Management: 22 Years of Experience. CMJ [Internet]. 2025 Jun. 1;47(2):5-9. Available from: https://izlik.org/JA45LW48ZJ