Foreign bodies in the rectum: Three case reports of sexual violence

Arash Mohammadi Tofigh; Sohrab Salimi; Behzad Nematihonar; Javad Zebarjadi Bagherpour; Fawzia Negin; Pashton Qaderi

doi:10.1016/j.amsu.2022.103695

Foreign bodies in the rectum: Three case reports of sexual violence

Ann Med Surg (Lond). 2022 Apr 29:78:103695. doi: 10.1016/j.amsu.2022.103695. eCollection 2022 Jun.

Authors

Arash Mohammadi Tofigh¹, Sohrab Salimi², Behzad Nematihonar¹, Javad Zebarjadi Bagherpour¹, Fawzia Negin³, Pashton Qaderi⁴

Affiliations

¹ Department of Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
² Department of Anesthesiology, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
³ Faculty of Medicine, Balkh University, Balkh, Afghanistan.
⁴ Department of Psychology and Educational Sciences, Balkh University, Balkh, Afghanistan.

Abstract

Background: Sexual violence is one of the worst forms of violence with long-term physical and psychological effects on victims. It has been stated that sexual stimulation was responsible for 78% of clinically relevant foreign rectal bodies. About 10% of the cases were due to sexual assault. A problem commonly encountered in patients with RFB is the delay in presentation. While patients may be reluctant to disclose the cause of their presentation.

Cases presentations: All the patients were males with a mean age of 41.1 years old. On average, they presented 2 days after the rape, Diagnosis was made in all 3 patients with a history and abdominal x-ray.The cause of the foreign body in each patient was violence and retaliatory behavior. Foreign objects included bottles, lamps, and water pipes. In 2 patients the foreign bodies were removed through Trans-anal procedure and in one patient laparotomy and colostomy need to be done for removing the Foreign object.

Conclusion: Despite the urgency in the treatment of these patients, which involves the removal of a foreign body, special attention should be paid to psychological trauma and its long-term effects on patients' wellbeing. In stable, non-perforated patients, tans-anal approach under sedation is a good approach. If it fails, the patient needs to go to operating room for further anesthetic and surgical interventions.

Keywords: Foreign body; Rectum; Sexual violence.

Publication types

Case Reports