T18.4

Clinical Causes: Accidental swallowing of small objects (coins, button batteries, toys) Intentional insertion of objects into the rectum for sexual gratification Swallowing items that are not meant to be ingested, such as dental appliances or small household items Use of objects during medical or alternative treatments that are accidentally left inside Psychological conditions leading to ingestion or insertion of foreign objects Children exploring their environment by putting objects into their mouth or rectum

Key Symptoms: Abdominal pain or cramping Rectal pain or discomfort Difficulty defecating or inability to pass stool Bleeding from the rectum Nausea and vomiting Feeling of fullness or bloating in the abdomen Fever if infection develops Signs of bowel obstruction, such as persistent vomiting and inability to pass gas

Diagnosis Path: Diagnosis typically involves a combination of medical history, physical examination, and diagnostic imaging. Healthcare providers may perform a rectal examination to detect the presence of a foreign object. Imaging studies such as X-rays are commonly used to locate and identify the object, determine the extent of impaction, and assess for possible complications like perforation. In some cases, additional procedures like CT scans or endoscopy may be necessary for detailed visualization and planning for removal.

Treatment Protocols: Treatment varies depending on the size, type, and location of the foreign body, as well as the presence of complications. Common approaches include: - Non-surgical removal: For accessible objects that can be safely extracted, procedures like manual extraction, endoscopy, or use of specialized tools can be effective. - Surgical intervention: If the object cannot be retrieved non-invasively, or if complications such as perforation or severe obstruction occur, surgery may be required. This can involve making an incision to remove the object and repair any damage. - Supportive care: Patients might need IV fluids, antibiotics if infection is suspected, and monitoring for signs of complications. Preventive strategies include avoiding insertion of objects into the rectum, especially those that could cause harm or become lodged, and seeking prompt medical attention when a foreign body is suspected.