Colorectal Foreign Bodies

Paul Jeziorczak, Derek Wakeman, MD, Brad Warner, MD
Colorectal Foreign Bodies is a topic covered in the Pediatric Surgery NaT.

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Introduction

Colorectal foreign bodies are often challenging clinical problems. Based on their nature, the initial presentation is often delayed leading to significant colorectal injury and sepsis. While sexual experimentation with anal insertion can be common in the pediatric population, a strong index of suspicion for child abuse should be maintained. Injury to the sphincter complex and tearing of the perianal skin are often signs of forceful insertion. The determination for outpatient management versus operative intervention is determined by the overall status of the patient, presence of peritoneal signs on physical exam, position of the object and presence free air on imaging studies. Most children will not require abdominal operations for retrieval of the foreign body or repair of the injury incurred. Fortunately, most children recover quickly with few long term consequences.

see also Gastrointestinal Foreign Bodies

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Introduction

Colorectal foreign bodies are often challenging clinical problems. Based on their nature, the initial presentation is often delayed leading to significant colorectal injury and sepsis. While sexual experimentation with anal insertion can be common in the pediatric population, a strong index of suspicion for child abuse should be maintained. Injury to the sphincter complex and tearing of the perianal skin are often signs of forceful insertion. The determination for outpatient management versus operative intervention is determined by the overall status of the patient, presence of peritoneal signs on physical exam, position of the object and presence free air on imaging studies. Most children will not require abdominal operations for retrieval of the foreign body or repair of the injury incurred. Fortunately, most children recover quickly with few long term consequences.

see also Gastrointestinal Foreign Bodies

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Last updated: November 2, 2020