title: Use of endoscopic snare to extract a large rectosigmoid foreign body with review of literature.
abstract: Rectal foreign bodies are common and various shapes and sizes have been described in literature. Large objects impacted high in the rectosigmoid junction pose a challenge for endoscopic extraction. We describe a method that successfully removed a 15x6x3.5-cm shampoo bottle impacted in the rectosigmoid junction. A 50-year-old man had passed a shampoo bottle up into his rectum. Examination revealed a lax sphincter but the bottle could not be felt. Contrast x-rays showed a well-delineated bottle in the rectosigmoid junction with no evidence of bowel perforation. A flexible sigmoidoscope with an endoscopic snare was used to "lasso" the foreign body and deliver it out. A check sigmoidoscopy after extraction showed no bleeding or perforation. This technique is a safer and less morbid method of extracting impacted high rectal foreign bodies, in the absence of perforation. It should be attempted before open surgical removal.
authors: Department of Surgery, Alexandra Hospital, Singapore. reyazm@yahoo.com
authors: Reyaz M
authors: RM
authors: Singaporewalla
authors: Daniel E L
authors: DE
authors: Tan
authors: Teng K
authors: TK
authors: Tan
mesh_terms: D012809:Colon, Sigmoid / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012007:Rectum / Q000601:surgery*