RECTAL FOREIGN BODY CASE REPORTS AND REVIEW OF LITERATURE IN SULAYMANIYAH- TEACHING HOSPITAL

Volume 14 , Issue 1 , March 2024 , Pages 179-186

Authors

Seerwan Hama Shareef Qaradaxy 1 ; Shvan Jamal Hassan Faraj 2

1 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

2 General Surgery Board Trainee, Sulaymaniyah Teaching Hospital. Sulaymaniyah, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10463

Keywords

Abstract

Background
Rectal foreign bodies present the surgeon with a diffi cult management dilemma, as the type of object, host
anatomy, time from insertion, associated injuries, and amount of local contamination may vary widely.
Reluctance to seek medical help and to provide details about the incident often makes diagnosis diffi cult.
Management of these patients may be challenging, as presentation is usually delayed after multiple attempts
at removal by the patients themselves have proven unsuccessful.
Objective
The primary aim of our study is to identify patients diagnosed with rectal foreign bodies in Sulaymaniyah
Teaching Hospital in Sulaymaniyah governorate/ Iraq over three years. All underwent surgical management
and follow-up.
Patients and Methods
Five patients with rectal foreign bodies are reported in this paper, all of them are male. Their ages range from
45-65 years, and the mean age is 55. Over three years, they were hospitalized and treated at Sulaymaniyah
Teaching Hospital. Following a thorough history, physical examination, and imaging, the patients underwent
surgery. In addition to direct questioning the patients to obtain their consent, information was gathered from
the medical records of Sulaymaniyah Teaching Hospital.
Results
Complete retrieval of the foreign bodies by surgical approach was reported in fi ve patients included in the
study, under general anesthesia two of the cases underwent laparotomy while the other three had extraction.
An uneventful post-operative period in all of them. No mortality was reported in any of the patients.
Conclusion
Rectal foreign body cases are rare and require precise diagnosis by physical examination and imaging
modalities. The primary management method in our study was surgical removal and follow-up.

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