Intest Res.  2015 Oct;13(4):355-359. 10.5217/ir.2015.13.4.355.

Removal of Rectal Foreign Bodies Using Tenaculum Forceps Under Endoscopic Assistance

• Lim KJ
• Kim JS
• Kim BG
• Park SM
• Ji JS
• Kim BW
• Choi H

• KMID: 2070753
• DOI: http://doi.org/10.5217/ir.2015.13.4.355

Abstract

The incidence of rectal foreign bodies is increasing by the day, though not as common as that of upper gastrointestinal foreign bodies. Various methods for removal of foreign bodies have been reported. Removal during endoscopy using endoscopic devices is simple and safe, but if the foreign body is too large to be removed by this method, other methods are required. We report two cases of rectal foreign body removal by a relatively simple and inexpensive technique. A 42-year-old man with a vibrator in the rectum was admitted due to inability to remove it by himself and various endoscopic methods failed. Finally, the vibrator was removed successfully by using tenaculum forceps under endoscopic assistance. Similarly, a 59-year-old man with a carrot in the rectum was admitted. The carrot was removed easily by using the same method as that in the previous case. The use of tenaculum forceps under endoscopic guidance may be a useful method for removal of rectal foreign bodies.

Keyword

Rectum; Foreign bodies; Tenaculum forceps; Endoscopy

MeSH Terms

Adult
Daucus carota
Endoscopy
Foreign Bodies*
Humans
Incidence
Middle Aged
Rectum
Surgical Instruments*

Figure

• 

  Fig. 1 Radiological findings of patient with a rectal foreign body. (A) A foreign body in the rectum as observed on abdominal radiography. (B) No evidence of abdominal free air can be observed on the chest radiograph.

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  Fig. 2 Image of tenaculum forceps used in our case. (A) Tenaculum forceps used for foreign body removal. (B) A foreign body grasped by the tenaculum forceps under endoscopic assistance.

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  Fig. 3 Radiological findings of patients after removal of a rectal foreign body. (A) No foreign body in the rectum can be observed on the abdominal radiograph. (B) No evidence of abdominal free air can be observed on the chest radiograph.

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  Fig. 4 Image of foreign body removed in our case. (A) A foreign body grasped by tenaculum forceps under endoscopic assistance. (B) The removed foreign body (length, 8.5 cm; weight, 200 g).

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