Rectal foreign body causing perforation: Case report and literature review.

ABSTRACT:

Background

Clinicians must maintain an index of suspicion to diagnose an anorectal foreign body (FB). The patient may not be forthcoming with information secondary to embarrassment or possibly psychiatric issues. Providers must express empathy and compassion while maintaining nonjudgmental composure. Despite accounts of anal FB insertion, this pathology is lacking level one evidence-based surgical algorithms.

Case presentation

A 46-year-old male psychiatric patient presented in septic shock, complaining of lower abdominal/pelvic pain starting 1 week prior. His past medical history was significant for schizophrenia, bipolar disorder, and noncompliance with medications. CT of the abdomen/pelvis revealed a rectal perforation with free air and a FB which appeared to be a screwdr

SUBMITTER: Shaban Y 

PROVIDER: S-EPMC6804320 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature