MANAGEMENT OF A RECTAL FOREIGN BODY WITH HISTRIONIC PERSONALITY DISORDER IN AN 8 YEARS OLD BOY: A RARE CASE

Rectal foreign body in an 8-years old boy

Authors

  • Murad Habib Department of Paediatric Surgery, The Children’s Hospital, Pakistan Institute of Medical Sciences Islamabad, Pakistan Author
  • Mansoor Ahmed Department of Paediatric Surgery, The Children’s Hospital, Pakistan Institute of Medical Sciences Islamabad, Pakistan Author
  • Fatima Rasheed Khan Department of Paediatric Surgery, The Children’s Hospital, Pakistan Institute of Medical Sciences Islamabad, Pakistan Author
  • Muhammad Amjad Chaudhary Department of Paediatric Surgery, The Children’s Hospital, Pakistan Institute of Medical Sciences Islamabad, Pakistan Author

Keywords:

challenging, histrionic personality disorder, paediatric, rectal foreign body

Abstract

Background: Rectal foreign bodies are extremely rare in paediatric population. They present with both a diagnostic dilemma and a challenging management, particularly in children with attention-seeking behaviors or other mental illnesses. Case: We present here a case of an 8-year-old boy with histrionic personality disorder having a foreign rectal body that got inserted accidentally during a play but could not be found upon clinical assessment. After confirming it by a plain abdominopelvic radiograph, fluoroscopic examination under general anesthesia confirmed the location of impaction. However, it passed spontaneously after oral laxatives. Discussion: Rectal foreign body in a pediatric patient with mental illness is quite a unique case. It is challenging at every step, i.e., clinical assessment, diagnosis, and treatment. In paediatric patients, rectal foreign bodies can have various causes, offer difficult diagnoses, and can be managed without surgical intervention. Conclusion: Non-complicated rectal foreign body in a stable pediatric patient is quite challenging to deal with. The diagnosis can be masked either due to mental illness or non-significant clinical assessment. The management shall be provided with laxatives and kept under observation. The parents of such patients should be appropriately educated, and psychiatric evaluation should always be considered.

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Author Biographies

  • Murad Habib, Department of Paediatric Surgery, The Children’s Hospital, Pakistan Institute of Medical Sciences Islamabad, Pakistan

    Resident Paediatric Surgeon MBBS, FCPS(cont)

     

  • Mansoor Ahmed, Department of Paediatric Surgery, The Children’s Hospital, Pakistan Institute of Medical Sciences Islamabad, Pakistan

    Resident Paediatric Surgery MBBS, FCPS(cont)

  • Fatima Rasheed Khan, Department of Paediatric Surgery, The Children’s Hospital, Pakistan Institute of Medical Sciences Islamabad, Pakistan

    House Officer MBBS

  • Muhammad Amjad Chaudhary, Department of Paediatric Surgery, The Children’s Hospital, Pakistan Institute of Medical Sciences Islamabad, Pakistan

    Emeritus Professor, MBBS, FRCS (Edinburgh), FRCS (Glasgow), FACS

References

Forooghi M, Kamran H, Shahriarirad R. Management of Asymptomatic Perforation of a Pediatric Rectal Foreign Body into the Peritoneal Cavity Retrieved with Laparoscopy: A case report and review of the literature. Case Rep Med 2021;2021:5851967.

Cologne KG, Ault GT. Rectal foreign bodies: what is the current standard? Clin Colon Rectal Surg 2012;25(4):214–8.

Mantegazza C, Ferraro S, Biganzoli D, Destro F, Quitadamo P, Isoldi S, et al. Foreign body ingestion in children: Definition of a nomogram to predict surgical or endoscopic intervention. Dig Liver Dis 2024;56(2):312–21.

Moniruddin A, Faisal MFH, Chowdhury S, Hasan T, Rafique R, Banerjee G, et al. Sigmoid resection and primary anastomosis without any diversion or exteriorization for impacted foreign body in sigmoid Colon. KYAMC J 2020;10(4):214–8.

Khan SA, Davey CA, Khan SA, Trigwell PJ, Chintapatla S. Munchausen's syndrome presenting as rectal foreign body insertion: a case report. Cases J 2008;1(1):243.

Krencnik T, Jalsovec T, Klemenak M, Riznik P, Dolinsek J. Safety beyond Sight: Handheld Metal Detectors as Diagnostic Allies in the Management of Children Suspected to have Ingested Foreign Bodies. Diagnostics (Basel) 2024;14(4):356.

Mulita F, Theofanis G, Tchabashvili L, Drakos N, Maroulis I. Rectal foreign bodies: retained orange. Gastroenterol Rev (Prz Gastroenterol) 2021;16(4):392–3.

Grossi AELMT, Rodriguez JER, de Freitas Sousa AA, Machado DAB, de Albuquerque VVML, de Macedo FPPC. Management of unusual rectal foreign body - Case report and literature review. Int J Surg Case Rep 2022;94:107051.

Shaban Y, Elkbuli A, Ovakimyan V, Wobing R, Boneva D, McKenney M, et al. Rectal foreign body causing perforation: Case report and literature review. Ann Med Surg (Lond) 2019;47:66–9.

Asumanu E, Akwei CNA, Saeed A, Addai J. Management of retained trans-anal foreign body: a case report. Pan Afr Med J 2022;42:105.

Mulita F, Papadopoulos G, Tsochatzis S, Kehagias I. Laparoscopic removal of an ingested fish bone from the head of the pancreas: case report and review of literature. Pan Afr Med J 2020;36:123.

Chen T, M Siu J, Madan Y, Ma GW, Gill PJ, Carman N, et al. Pediatric esophageal foreign bodies: The role of socioeconomic status in ingestion patterns. Laryngoscope 2024;134(6):2945–53.

Li XL, Zhang QM, Lu SY, Liu TT, Li SL, Chen L, et al. Accidental ingestion of multiple magnetic beads by children and their impact on the gastrointestinal tract: a single-center study. BMC Pediatr 2024;24(1):5.

Inaugural issue

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Published

05/16/2025 — Updated on 05/19/2025

Data Availability Statement

The details of this case report is kept safe under lock with the principal author and may be provided on request after IRB approval. 

Issue

Vol. 1 No. 1 (2025): The Genesis of MedPulse: Pioneering Research and Clinical Excellence

Section

Case Reports

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How to Cite

MANAGEMENT OF A RECTAL FOREIGN BODY WITH HISTRIONIC PERSONALITY DISORDER IN AN 8 YEARS OLD BOY: A RARE CASE: Rectal foreign body in an 8-years old boy. (2025). MedPulse Spectrum, 1(1), 03-05. https://jouex.com/index.php/medpulspect/article/view/14