A beverage bottle in the rectum: original image

Authors

A 51-year-old male patient was admitted to the ED with a history of introducing a beverage bottle into the rectum and rectal bleeding. He reported similar attempts in the past using comparable objects to alleviate constipation. Vital signs were within normal range. On physical examination, his abdomen was soft and non-rigid. On inspection of the anus, external piles were observed, but no foreign body was evident on digital rectal examination. The foreign body was not palpable through the abdomen. An anteroposterior radiograph of the pelvis showed the bottle in the lower abdomen and pelvis (Figure 1).
Rectal foreign bodies are rare in the emergency department.^1,2 They can either be ingested orally or inserted anally.³ Males are more commonly affected than females,^2,4 and the age of patients ranges from 16 to 80 years old.⁵ There have been many publications in the literature on different rectal foreign objects.⁴ Commonly reported rectal objects include glass or plastic bottles, vibrators, vegetables, wooden objects, and stones in various sizes and shapes.^3,4 The object length varies between 6 and 15 cm, and larger objects are more prone to complications such as mucosal lacerations, abscesses, and bowel perforations.^2,4,6 Abdominal, pelvic, and rectal pain, tenesmus, rectal bleeding, and intestinal obstruction are common presenting symptoms.^1,7

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References

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Figure 1. The bottle image showed in lower abdomen and pelvis at anteroposterior radiograph of the pelvis

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About This Article

Received:

December 6, 2014

Accepted:

January 22, 2015

Published Online:

January 22, 2015

Printed:

January 22, 2015