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Title: Successful Expulsion of a Golf Ball from the Sigmoid Colon Using Volume Laxatives
Austin Authors: Grantham, James P;Hii, Amanda;Bright, Tim;Liu, David 
Affiliation: Department of Surgery, Royal Adelaide Hospital, Adelaide, SA 5000, Australia.
Oesophagogastric Surgery Unit, Flinders Medical Centre, Bedford Park, SA 5042, Australia.
Division of Surgery, Anaesthesia and Procedural Medicine
Issue Date: 2023
Date: 2023
Publication information: Case Reports in Surgery 2023; 2023
Abstract: Rectal foreign bodies form a surprisingly frequent cause of presentation to the emergency department. The materials inserted constitute a wide range of size, shape, and texture with each presenting a unique set of challenges. Despite a seemingly innocuous presentation, if not recognised early and managed accordingly, significant complications can develop including obstruction, perforation, and sphincteric injury. The existing doctrines advocate endoscopic intervention after simple measures fail and advise against the use of laxative therapy due to concerns for complications that may arise. The authors of this study challenge this notion, provided certain conditions are met. Case Presentation. We report the case of a 14-year-old boy who inserted a golf ball into his rectum, which subsequently migrated proximally into the sigmoid colon on plain radiographic films. The patient was asymptomatic on presentation, and there was no clinical evidence of bowel injury or mechanical bowel obstruction. Endoscopic removal of the golf ball was pursued under general anaesthesia. Despite protracted efforts, the golf ball was not able to be retrieved endoscopically. In an attempt to avoid aggressive surgery, volume laxatives were administered with successful passage of the golf ball several hours later.
DOI: 10.1155/2023/5841246
ORCID: 0000-0002-5267-5646
Journal: Case Reports in Surgery
Start page: 5841246
PubMed URL: 36644551
Type: Journal Article
Appears in Collections:Journal articles

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