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KMID : 0356720120280010056
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Journal of the Korean Society of Coloproctology
2012 Volume.28 No. 1 p.56 ~ p.60
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Operative Treatment with a Laparotomy for Anorectal Problems Arising from a Self-Inserted Foreign Body
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Ryoo Seung-Bum
Oh Heung-Kwon
Ha Heon-Kyun
Choe Eun-Kyung
Moon Sang-Hui
Park Kyu-Joo
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Abstract
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An anorectal foreign body can cause serious complications such as incontinence, rectal perforation, peritonitis, or pelvic abscess, so it should be managed immediately. We experienced two cases of operative treatment for a self-inserted anorectal foreign body. In one, the foreign body could not be removed as it was completely impacted in the anal canal. We failed to remove it through the anus. A laparotomy and removal of the foreign body was performed by using an incision on the rectum. Primary colsure and a sigmoid loop colostomy were done. A colostomy take-down was done after three months. The other was a rectal perforation from anal masturbation with a plastic device. We performed primary repair of the perforated rectosigmoid colon, and we didea sigmoid loop colostom. A colostomy take-down was done three months later. Immediate and proper treatment for a self-inserted anorectal foreign body is important to prevent severe complications, and we report successful surgical treatments for problems caused by anorectal foreign bodies.
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KEYWORD
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Anal canal, Foreign bodies, Laparotomy
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