Mesut OKUR, Adem KÜÇÜK, Aybars ÖZKAN, Murat KAYA, Ali Kemal TAŞKIN

Seksüel Amaçla Meydana Gelen Rektal Yabancı Cisim: On İki Yaşında Erkek Olgu

Rektal yabancı cisim; çocuklarda genellikle iatrojenik nedenlerle meydana gelmekle birlikte büyük çocuklarda seksüel amaçla kullanılan bir nesne sebebiyle de oluşabilir. Yabancı cismin çıkarılma işlemi laparotomiyi de içerebilen çeşitli müdahaleleri gerektirir. On iki yaşında erkek hasta karın ağrısı ve makatta acıma yakınmalarıyla acil servise başvurdu. Çekilen ayakta karın grafisinde rektumda yabancı cisim saptandı. Acil müdahale odasında rektal tuşe yardımı ile yabancı cisim çıkartıldı. Başlangıçta hasta bu cismi yuttuğunu söylediyse de ayrıntılı sorgulama sonucu kendi kendine seksüel amaçla kullandığı anlaşıldı. Bu olgu sunumunda hastanın oldukça küçük yaşta olduğunu ve rektal yabancı cismin genel anesteziye gereksinim duyulmaksızın rektal müdahale ile de çıkarılabileceğini vurgulamak istedik.

Anahtar Kelimeler:

Rektal yabancı cisim, mastürbasyon, rektal tuşe, adolesan

Rectal Foreign-Body Retained by Self-Sexual Stimulation: A Case of a 12 Year-Old Boy

Although a rectal foreign body (FB) usually occurs in children with iatrogenic causes, it may be seen in older children due to an object used for sexual stimulation. The extraction process of retained rectal FBs can require various interventions including laparotomy. A 12-year-old male was admitted to the emergency department with complaints of abdominal and anal pain. A plain abdominal x-ray revealed a retained rectal FB. The foreign object was extracted manually from the rectum in the emergency intervention room. Initially, the patient said that he had swallowed the FB; however, after a detailed inquiry it was determined that he was using the object for self-satisfaction. In this case report, we emphasized that rectal FBs could also be readily removed by digital rectal manipulation without the need for general anesthesia and this patient was very young with a rectal FB

Keywords:

Rectal foreign body, masturbation, digital rectal examination, adolescent,

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