Rectal Foreign Body Management: 22 Years of Experience

Kazım Gemici; Hüsnü Çağrı Genç; Ayhan Sarıtaş

TR EN

REKTAL YABANCI CİSİMLERİN YÖNETİMİ: 22 YILLIK DENEYİM

Öz

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.

Anahtar Kelimeler

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

Kaynakça

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