laparotomy or laparoscopy. A colotomy may be required for removal when the object cannot
be milked down for transanal extraction. A Hartmann's procedure may be necessary in cases
of significant faecal peritonitis.- It is important to document sphincter function post‐extraction of a rectal foreign body.
Recto‐sigmoidoscopy is advised to assess the rectal and distal colonic mucosa to determine
the extent of any possible injury and exclude perforation. - Cases of sphincter dysfunction after removal of a rectal foreign body are often initially
managed conservatively, and the majority will resolve without any intervention. For those
not settling, referral to a specialized colorectal surgery/incontinence unit is recommended
and may require a delayed sphincteroplasty.
Author details
Obinna Obinwa*, David Cooper, James M. O’Riordan and Paul Neary*Address all correspondence to: [email protected]Department of Surgery, The Adelaide and Meath Hospital, Dublin Incorporating the National
Children's Hospital, Dublin, IrelandReferences
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