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Title:Anal / Rectal foreign body | surgical removal of foreign rectal foreign body | medico mnemonico
Duration:01:13
Viewed:356,723
Published:08-09-2019
Source:Youtube

Young male was brought to the E.R with complaint of pain lower abdomen and perinium. On inquiry he confessed of putting a bottle gourd inside his rectum for the sake of satisfying himself. After the necessary legal and administrative workup and necessary pre-Operative labs and radiological investigations, he was planned for and prepared for surgery. Under general anesthesia, he was put in lithotomy position , digital rectal examination performed under anesthesia which revealed presence of hard mass inside the rectum. It was followed by proctoscopy and it showed presence of foreign body inside the rectum. it was removed with the help of guaze piece holding forceps. NOTE: in such case 1. pre-op xray erect abdomen is necessary for confirming gas under diaphragm, which happens if the foreign body has perforated the gut. 2. pre-op USG is also neede to rule out fre fluid in peritonium, which happens in case of GUT perfration / injury.



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