Eight Cases of Transanal Rectal Foreign Body Extraction Based on an Analysis of 96 Japanese Literature Reports

Abstract

Transanal rectal foreign body insertion devolves mainly on sexual preference. We report five such cases ― all men ― treated from 2006 to 2007, two involving the same person. Subjects ranged from 30 to 67 years old (average : 56.2 years). All reported the difficuity of extraction. Insertion motives involved autoeroticism in three cases, sadomasochism in one, and was unclear in one. Objects involved plastic bottles and caps, an automatic toothbrush, a spoon, and an ear of corn. All were diagnosed from abdominal X - ray film. Extraction involved one transanal extraction without anesthesia in one case, three with lumbar anesthesia, one with laparotomy under general anesthesia, and transanal extraction assisted by abdominal cavity manipulation. No postoperative complications occurred and hospitalization was 3 to 10 days, averaging 5.4 days.