Case report: Rectal perforation secondary to a toothbrush in an elderly man

Karthigesu Aimanan and Soon Yee Lim and Ahmad Junaidi Ahmad Hamidi and Tiong How Chieng and Firdaus Hayati (2022) Case report: Rectal perforation secondary to a toothbrush in an elderly man. Frontiers in Surgery, 9. pp. 1-4. ISSN 2296-875X

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URL: https://www.frontiersin.org/articles/10.3389/fsurg...

Abstract

Rectal foreign bodies often constitute an arduous diagnosis and perplexing management. A 72-year-old gentleman who is mentally sound was brought to the emergency department for severe epigastric pain of a 1-week duration. On examination, he was pyrexial and in sepsis. The abdomen was guarded. A digital rectal examination was normal. Erect chest radiography revealed air under the diaphragm and abdominal radiography showed neither dilated bowel nor foreign body. A diagnostic laparoscopy was performed which revealed a yellow hard rodshaped foreign body at the pelvis. Upon conversion to midline laparotomy, the foreign body was found to be a toothbrush with intraperitoneal rectal perforation of 1 cm in length. The brush was removed and the perforation was repaired primarily. A diverting transverse loop colostomy was created. Rectal foreign bodies may cause life-threatening rectal injuries including lacerations, bleeding, perforation, and obstruction. It is deemed crucial that any patient with rectal foreign body demands an orderly approach with the intention of diagnosis, management, and post-extraction evaluation.

Item Type:	Article
Keyword:	Foreign bodies , Pneumoperitoneum , Radiography , Rectum , Case report
Subjects:	R Medicine > RD Surgery > RD1-811 Surgery
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	DG MASNIAH AHMAD -
Date Deposited:	02 Aug 2022 08:19
Last Modified:	02 Aug 2022 08:19
URI:	https://eprints.ums.edu.my/id/eprint/33578

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