SUCCESSFUL TRANSANAL INTRARECTAL FOREIGN BODY EXTRACTION USING SPECIAL FORCEPS IN AN INGENIOUS LITHOTOMY POSITION
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概要
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We report a case of transanal intrarectal foreign body extraction using special forceps in an ingenious position. A 56-year-old man who had inserted a bottle while masturbating but then could not remove it was admitted for assistance. Unable to remove it manually, by colposcopy, or by rectoscopy, we conducted pelvic radiography to definitively locate the 4 cm×15 cm bottle in rectum. To remove it, we choose a transanal approach under lumbar anesthesia. We first tried using conventional forceps in a lithotomy position. Failing this, we lifted the man's legs, bent his hips, pressed the abdomen gently, and spread the anus by spatulas, exposing the entire bottom of the bottle. Grasping the bottle using HASSOU bone forceps, we removed it. The postoperative course was uneventful. It conventional forceps in a normal lithotomy position fail to remove objects such as bottles from the rectum, we suggest the above alternative as a feasible choice.
- 日本臨床外科学会の論文
日本臨床外科学会 | 論文
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