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Migration of a foreign body to the rectum: A case report and literature review.
Medicine (Baltimore) 2018; 97(28):e11512M

Abstract

RATIONALE

Rectal foreign bodies are not an uncommon finding in outpatient departments globally. Most such objects are inserted through the anus. Occasionally, a foreign body may be ingested and may successfully pass through the entire gastrointestinal tract and be held up in the rectum. In extremely rare cases, foreign bodies in adjacent tissues or organs can penetrate the rectal wall and enter the rectal lumen. We report a rare case that the IUCD had migrated and was embedded in the rectal wall. A part of the IUCD was loosened and deformed into a metallic wire that protruded through the anus.

PATIENT CONCERNS

A 45-year-old woman presented with complaints of a metallic wire protruding through her anus when she used the washroom. The wire would become longer when she manually pulled it; however, this process was associated with pain in the lower abdomen, and she therefore stopped manipulating it.

DIAGNOSES

A rectal foreign body secondary to intrauterine contraceptive device (IUCD) migration and rectal perforation, as well as a pelvic cyst.

INTERVENTIONS

Under general anesthesia, she underwent laparoscopic removal of the rectal foreign body, pelvic adhesiolysis, pelvic cyst resection, and ileostomy combined with colonoscopy.

OUTCOMES

Her postoperative recovery was uneventful.

LESSONS

Foreign bodies in adjacent tissues or organs can penetrate the rectal wall and enter the rectal lumen. Regular follow-up after IUCD insertion is very important. We report this rare case that would increase awareness among clinicians regarding the differential diagnosis and treatment in such cases.

Authors+Show Affiliations

Department of Colorectal Anal Surgery.Department of Respiratory Medicine, Jingzhou Central Hospital, The Second Clinical Medical College, Yangtze University, Jingzhou, Hubei Province, China.Department of Colorectal Anal Surgery.Department of Colorectal Anal Surgery.Department of Colorectal Anal Surgery.Department of Colorectal Anal Surgery.Department of Colorectal Anal Surgery.Department of Colorectal Anal Surgery.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

29995819

Citation

Ye, Hui, et al. "Migration of a Foreign Body to the Rectum: a Case Report and Literature Review." Medicine, vol. 97, no. 28, 2018, pp. e11512.
Ye H, Huang S, Zhou Q, et al. Migration of a foreign body to the rectum: A case report and literature review. Medicine (Baltimore). 2018;97(28):e11512.
Ye, H., Huang, S., Zhou, Q., Yu, J., Xi, C., Cao, L., ... Gong, Z. (2018). Migration of a foreign body to the rectum: A case report and literature review. Medicine, 97(28), pp. e11512. doi:10.1097/MD.0000000000011512.
Ye H, et al. Migration of a Foreign Body to the Rectum: a Case Report and Literature Review. Medicine (Baltimore). 2018;97(28):e11512. PubMed PMID: 29995819.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Migration of a foreign body to the rectum: A case report and literature review. AU - Ye,Hui, AU - Huang,Shujuan, AU - Zhou,Qichang, AU - Yu,Jie, AU - Xi,Changlei, AU - Cao,Longlei, AU - Wang,Peiyun, AU - Gong,Zhilin, PY - 2018/7/12/entrez PY - 2018/7/12/pubmed PY - 2018/7/28/medline SP - e11512 EP - e11512 JF - Medicine JO - Medicine (Baltimore) VL - 97 IS - 28 N2 - RATIONALE: Rectal foreign bodies are not an uncommon finding in outpatient departments globally. Most such objects are inserted through the anus. Occasionally, a foreign body may be ingested and may successfully pass through the entire gastrointestinal tract and be held up in the rectum. In extremely rare cases, foreign bodies in adjacent tissues or organs can penetrate the rectal wall and enter the rectal lumen. We report a rare case that the IUCD had migrated and was embedded in the rectal wall. A part of the IUCD was loosened and deformed into a metallic wire that protruded through the anus. PATIENT CONCERNS: A 45-year-old woman presented with complaints of a metallic wire protruding through her anus when she used the washroom. The wire would become longer when she manually pulled it; however, this process was associated with pain in the lower abdomen, and she therefore stopped manipulating it. DIAGNOSES: A rectal foreign body secondary to intrauterine contraceptive device (IUCD) migration and rectal perforation, as well as a pelvic cyst. INTERVENTIONS: Under general anesthesia, she underwent laparoscopic removal of the rectal foreign body, pelvic adhesiolysis, pelvic cyst resection, and ileostomy combined with colonoscopy. OUTCOMES: Her postoperative recovery was uneventful. LESSONS: Foreign bodies in adjacent tissues or organs can penetrate the rectal wall and enter the rectal lumen. Regular follow-up after IUCD insertion is very important. We report this rare case that would increase awareness among clinicians regarding the differential diagnosis and treatment in such cases. SN - 1536-5964 UR - https://www.unboundmedicine.com/medline/citation/29995819/Migration_of_a_foreign_body_to_the_rectum:_A_case_report_and_literature_review_ L2 - http://Insights.ovid.com/pubmed?pmid=29995819 DB - PRIME DP - Unbound Medicine ER -