Yeungnam Univ J Med.  2015 Jun;32(1):31-34. 10.12701/yujm.2015.32.1.31.

Rectal perforation caused by a sharp pig backbone in a middle-aged patient with mild depression

Affiliations
  • 1Department of Internal Medicine, Daejeon Sun Hospital, Daejeon, Korea.
  • 2Department of General Surgery, Daejeon Sun Hospital, Daejeon, Korea. loookchoi@daum.net

Abstract

In Korea, cases of direct insertion of foreign bodies into the rectum are rare in the literature. Most cases of rectal insertion of foreign bodies are associated with sexual acts and psychiatric disorder such as schizophrenia. Objects inserted into the anus are usually blunt and shaped like the male genitalia. The removal method can be varied depending on the size and shape of the foreign object, its anatomical location, and the accompanying complications. In cases wherein attempts to remove the object fail or there are rectal perforation and peritonitis complications, immediate laparotomy may be required in order to prevent serious complications such as sepsis. Here, we report on a case of rectal perforation and peritonitis due to insertion of a foreign body in a middle-aged patient, with a literature review. He inserted a sharp pig backbone in his rectum and he only had depression. The patient underwent a Hartmann's operation as well as psychiatric counseling and treatment. Thus, after removal of foreign bodies, psychiatric counseling and treatment should be carried out in order to prevent similar accidents and to minimize the need for trauma medicine.

Keyword

Rectum; Perforation; Foreign body; Depression

MeSH Terms

Anal Canal
Counseling
Depression*
Foreign Bodies
Genitalia, Male
Humans
Korea
Laparotomy
Male
Peritonitis
Rectum
Schizophrenia
Sepsis
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