Impaction of a Foreign Body in the Rectum by Improper Use of a (Electronic) Massager
정은주, 유춘근, 김강미, 황대용,
소속 상세정보
정은주 ( Jung Eun-Joo )
건국대학교 의학전문대학원 외과학교실
유춘근 ( Ryu Chun-Geun )
건국대학교 의학전문대학원 외과학교실
김강미 ( Kim Gang-Mi )
건국대학교 의과대학 외과학교실
황대용 ( Hwang Dae-Yong )
건국대학교 의과대학 외과학교실
KMID : 0356720100260040298
Abstract
A male, 67 years old, visited the emergency room because of a foreign body impacted in his rectum. While he was being treated for grade-II hemorrhoids conservatively, he heard that massage of the peri-anal area could be helpful for preventing hemorrhoids. Thus, while using an electronic massager after placing the head of the machine into a short round bar, the head became separated from the machine, and this was inserted into the anus and impacted. The patient had anal discomfort without abdominal pain. His vital signs were stable, and no abnormal physical findings were found for the abdomen. On digital rectal examination, the rim of the foreign body was palpated about 8 cm from the anal verge. Anal bleeding, abnormal discharge, or foul odor was not found. On a simple abdominal X-ray, a radio-opaque foreign body was observed in the pelvic cavity, and mild leukocytosis was noted on the laboratory test. To avoid injury to the anal sphincter, we tried to remove the foreign body under the spinal anesthesia. After anesthesia had been administered, the foreign body was palpated more distally at 5-6 cm from the anal verge by digital examination, and the foreign body was found to have a hole in its center. This was held using a Kelly clamp, and with digital guiding, was removed through the anus. After removal, an anoscopic examination was performed to determine if mucosal injury had occurred in the rectum or anal canal. The patient was discharged without complication after 24 hours of close observation.
키워드
Foreign bodies; Rectum; Massager; Electrical equipment
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