{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:42:25Z","timestamp":1791477745640,"version":"4.3.4"},"reference-count":54,"publisher":"Walter de Gruyter GmbH","issue":"2","license":[{"start":{"date-parts":[[2017,5,20]],"date-time":"2017-05-20T00:00:00Z","timestamp":1495238400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,5,20]]},"abstract":"Abstract<\/jats:title>Background:<\/jats:title>Patients with a rectal foreign body (RFB) are still a rare entity in general surgery departments but with an increasing incidence over the last years. This case is sometimes difficult to treat, and due to a lack of standardized treatment options, the aim of the study was to present our clinical experiences with the diagnostic and therapeutic approach to RFBs and a review of the currently available literature.<\/jats:p><\/jats:sec>Materials and methods:<\/jats:title>Data were collected retrospectively from the patient\u2019s records of 20 patients who were treated due to an RFB between 2006 and 2016. Patient\u2019s demographics, circumstances of insertion, inserted objects, clinical presentation, laboratory and imaging results, as well as surgical treatment and duration of hospital stay were analyzed. Additionally, a review of the literature was performed with the search items \u201crectal foreign body\u201d and \u201csurgical therapy\u201d. Because many publications were just case reports, we did not perform a meta-analysis or a systematic review.<\/jats:p><\/jats:sec>Results:<\/jats:title>Twenty-two cases in 20 patients (80% male) presented to the emergency room. The mean age was 38.5\u00b113.7 years. In 68.2% of the cases, the cause of RFB was due to sexual preferences. The following objects were inserted: six dildos, three vibrators, two bottles, one glass, one deodorant, one apple, one fever thermometer, multiple glass fragments and razor blades in one patient and six unknown objects. For 18 RFBs, manual peranal removal without anesthesia was possible in the emergency room, but two patients required intravenous analgesia. Two patients were transferred to the operating room and the foreign body was removed via the anus under general anesthesia. Open surgery with a laparotomy was necessary for two complicated cases. One patient was in need of surgery due to a vacuum generated by the RFB, whereas the second patient suffered from a sigmoid perforation. In all cases, there was no morbidity or mortality.<\/jats:p><\/jats:sec>Conclusion:<\/jats:title>In most cases, the removal of an RFB can be performed peranally in the emergency room without further complications, therefore representing the therapy of choice for RFB. Only in cases with perforation, acute abdomen, or failed peranal approaches, surgery is indicated to remove the foreign body.<\/jats:p><\/jats:sec>","DOI":"10.1515\/iss-2017-0021","type":"journal-article","created":{"date-parts":[[2017,6,2]],"date-time":"2017-06-02T13:21:55Z","timestamp":1496409715000},"page":"89-95","source":"Crossref","is-referenced-by-count":12,"title":["Surgical management of rectal foreign bodies: a 10-year single-center experience"],"prefix":"10.1515","volume":"2","author":[{"given":"Pia","family":"Kokemohr","sequence":"first","affiliation":[{"name":"Clinic for General and Digestive Surgery, Center for Endocrine, Oncologic and Metabolic Surgery, DIAKOVERE Henriettenstift, Marienstra\u00dfe 72-90, D-30171 Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Haeder","sequence":"additional","affiliation":[{"name":"Clinic for General and Digestive Surgery, Center for Endocrine, Oncologic and Metabolic Surgery, DIAKOVERE Henriettenstift, Marienstra\u00dfe 72-90, D-30171 Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian Joachim","family":"Fr\u00f6mling","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr H\u00e4matologie, H\u00e4mostaseologie, Onkologie und Stammzelltransplantation, Medizinische Hochschule Hannover, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Landwehr","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Diagnostische und Interventionelle Radiologie, Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joachim","family":"J\u00e4hne","sequence":"additional","affiliation":[{"name":"Clinic for General and Digestive Surgery, Center for Endocrine, Oncologic and Metabolic Surgery, DIAKOVERE Henriettenstift, Marienstra\u00dfe 72-90, D-30171 Hannover, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","reference":[{"key":"ref401","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1186\/1749-7922-8-11","article-title":"Management of rectal foreign bodies","volume":"8","year":"2013","journal-title":"World J Emerg Surg"},{"key":"ref241","doi-asserted-by":"crossref","first-page":"1975","DOI":"10.1007\/s10350-005-0117-6","article-title":"Laparoscopic-assisted rectal foreign body removal: report of a case","volume":"48","year":"2005","journal-title":"Dis Colon Rectum"},{"key":"ref311","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1016\/j.emc.2011.01.009","article-title":"Foreign bodies in the gastrointestinal tract and anorectal emergencies","volume":"29","year":"2011","journal-title":"Emerg Med Clin North Am"},{"key":"ref531","first-page":"411","article-title":"Colorectal retained foreign bodies per anum introduced. 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