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Antegrade impalement of the rectum by a foreign body: a case report of a successful transanal extraction using the transanal single port (TAMIS) technique

  • J. P. Bulte
  • S. H. E. M. Clermonts
  • D. D. E. ZimmermanEmail author
Trick of the Trade

Introduction

Patients with retained rectal foreign bodies (RFB’s) are not an uncommon occurrence in most emergency departments, and can sometimes constitute a considerable clinical challenge. Many simple and/or complex manoeuvres have been described for removing such RFB’s. A technique that is sometimes mentioned, but rarely described in the literature is the use of a transanal minimally invasive surgery (TAMIS) procedure. We describe the case of a patient that inserted a punch tool, that required a TAMIS to be safely removed.

Case report

A 70-year-old male with a history of schizophrenia presented to the emergency department after rectal insertion of a punch tool he used to relieve his constipation. He was in no apparent distress, abdominal examination was unremarkable. Hemodynamic parameters were normal. At digital rectal examination the foreign body was not palpable. A plain abdominal X-ray showed a punch tool, projecting obliquely, cranial over the sacral bone (Fig. 1). Rigid...

Notes

Acknowledgements

The authors thank mrs M. ter Meer and mr. J. Pistorius for their assistance in image acquisition and processing.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This study contains only retrospective data, and is in full compliance with local laws and guidelines. No formal ethical review was required.

Informed consent

Written informed consent was obtained from the patient for publication of this Case Report and all accompanying images. A copy of the written consent is available for review by the Editors-in-Chief of this journal.

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of SurgeryElisabeth-TweeSteden (ETZ) HospitalTilburgThe Netherlands

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