RT Book, Section
A1 Dooley-Hash, Suzanne
A1 Herrman, Nicholas W.C.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181041514
T1 Rectal Foreign Body
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181041514
RD 2024/04/18
AB Diagnosis  of  rectal  foreign  body  is  usually  made  by  history  and  confirmed  by  digital  examination.  The  foreign  body  is  usually  directly  inserted  into  the  rectum,  but  an  ingested  foreign  body  may  also  become  trapped  in  the  rectum.  The  most  common  and  serious  complication  of  a  rectal  foreign  body  is  perforation  of  the  rectum  or  sigmoid  colon.  Perforation  superior  to  the  peritoneal  reflection  is  associated  with  intraperitoneal  free  air  and  peritoneal  signs.  Perforation  inferior  to  the  peritoneal  reflection  often  causes  retroperitoneal  injuries  and  presents  with  more  nonspecific  complaints.  Determine  the  size,  shape,  and  number  of  objects  to  assess  the  risk  of  perforation.  In  children,  rectal  foreign  bodies  usually  present  as  rectal  bleeding.  Imaging  is  indicated  if  there  are  significant  concerns  for  perforation.