Novel Bedside Utilization of Foley Catheter in the Emergent Removal of Colorectal Foreign Body: A Case Report and Literature Review

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2022 Jan 10

PMID 35004037

Authors

Terry Lefcourt

Andrew Ku

Leo Issagholian

Arianna S Neeki

Milton Retamozo

Fanglong Dong

Michael M Neeki

Affiliations

Soon will be listed here.

Abstract

Rectal foreign bodies (RFBs) present unique challenges to the emergency physician. Failure to emergently remove the RFB may lead to additional intraoperative procedures with increased likelihood of complications. We present a case of retained RFB in the emergency department, in which the usual standard approaches to transanal removal had failed. A last-ditch effort by utilizing a Foley catheter inside the object rather than around it led to the successful removal of the RFB. An intense review of the literature highlights the importance of using various novel applications of a Foley catheter to consider cases of RFBs.

Citing Articles

Bedside Extraction of a Rectal Foreign Body Using Hyperinflated Foley Catheter Traction: A Case Report.

Barden M, Breiner D Cureus. 2025; 17(1):e77136.

PMID: 39925514 PMC: 11804272. DOI: 10.7759/cureus.77136.

Colonoscopy-assisted removal of an impaction foreign body at the rectosigmoid junction: A case report.

Zhou P, Lu J, Zhang J, Wang J World J Clin Cases. 2024; 12(11):1990-1995.

PMID: 38660553 PMC: 11036519. DOI: 10.12998/wjcc.v12.i11.1990.

References

Cawich S, Thomas D, Mohammed F, Bobb N, Williams D, Naraynsingh V . A Management Algorithm for Retained Rectal Foreign Bodies. Am J Mens Health. 2016; 11(3):684-692. PMC: 5675215. DOI: 10.1177/1557988316680929. View

Manimaran N, Shorafa M, Eccersley J . Blow as well as pull: an innovative technique for dealing with a rectal foreign body. Colorectal Dis. 2008; 11(3):325-6. DOI: 10.1111/j.1463-1318.2008.01653.x. View

Garber H, RUBIN R, Eisenstat T . Removal of a glass foreign body from the rectum. Dis Colon Rectum. 1981; 24(4):323. View

McGuinness J, Winter D, OConnell P . Balloon tamponade to control haemorrhage following transanal rectal surgery. Int J Colorectal Dis. 2004; 19(4):395-6. DOI: 10.1007/s00384-004-0593-5. View

Sharma H, Banka S, Walton R, Memon M . A novel technique for nonoperative removal of round rectal foreign bodies. Tech Coloproctol. 2007; 11(1):58-9. DOI: 10.1007/s10151-007-0328-z. View

Busch D, Starling J . Rectal foreign bodies: case reports and a comprehensive review of the world's literature. Surgery. 1986; 100(3):512-9. View

Mackinnon R . Removing rectal foreign bodies: is the ventouse gender specific?. Med J Aust. 1999; 169(11-12):670-1. DOI: 10.5694/j.1326-5377.1998.tb123462.x. View

Berghoff K, Franklin Jr M . Laparoscopic-assisted rectal foreign body removal: report of a case. Dis Colon Rectum. 2005; 48(10):1975-7. DOI: 10.1007/s10350-005-0117-6. View

HAFT J, Benjamin H, Wagner M . Vaginal vibrator lodged in rectum. Br Med J. 1976; 1(6010):626. PMC: 1639058. DOI: 10.1136/bmj.1.6010.626. View

10.

Yaman M, Deitel M, Burul C, Shahi B, Hadar B . Foreign bodies in the rectum. Can J Surg. 1993; 36(2):173-7. View

11.

DIWAN V . Removal of 100-watt electric bulb from rectum. Ann Emerg Med. 1982; 11(11):643-4. DOI: 10.1016/s0196-0644(82)80218-7. View

12.

JANSEN A . Foreign body in the rectum. N Z Med J. 1969; 70(448):174-5. View

13.

Lake J, Essani R, Petrone P, Kaiser A, Asensio J, Beart Jr R . Management of retained colorectal foreign bodies: predictors of operative intervention. Dis Colon Rectum. 2004; 47(10):1694-8. DOI: 10.1007/s10350-004-0676-4. View

14.

Peet T . Removal of impacted rectal foreign body with obstetric forceps. Br Med J. 1976; 1(6008):500-1. PMC: 1638849. DOI: 10.1136/bmj.1.6008.500. View

15.

Lee T, Ang S, Dambisya Y, Adaikan G, Lau L . The effect of propofol on human gastric and colonic muscle contractions. Anesth Analg. 1999; 89(5):1246-9. View

16.

Sayilir A, Duzgun I, Guvendi B . Treatment of unusual rectal foreign body using a Foley catheter. Endoscopy. 2014; 46 Suppl 1 UCTN:E182-3. DOI: 10.1055/s-0034-1365109. View

17.

Ooi B, Ho Y, Eu K, Nyam D, Leong A, Seow-Choen F . Management of anorectal foreign bodies: a cause of obscure anal pain. Aust N Z J Surg. 1999; 68(12):852-5. DOI: 10.1046/j.1440-1622.1998.01463.x. View

18.

Bakheit I, Elhasan G, Salih M . A case of impacted foreign body in the rectum that was extracted using size 24 Foley catheter. Int J Surg Case Rep. 2019; 66:146-148. PMC: 6920300. DOI: 10.1016/j.ijscr.2019.11.035. View

19.

Feigelson S, Maun D, Silverberg D, Menes T . Removal of a large spherical foreign object from the rectum using an obstetric vacuum device: a case report. Am Surg. 2007; 73(3):304-6. View

20.

Losanoff J, Kjossev K . Rectal "oven mitt": the importance of considering a serious underlying injury. J Emerg Med. 1999; 17(1):31-3. DOI: 10.1016/s0736-4679(98)00116-4. View