{
  "abstract": "Retained rectal foreign bodies are an uncommon but clinically significant surgical emergency. We report the case of a 74-year-old male with multiple medical comorbidities who presented with progressive rectal pain and obstipation several days after an episode of suspected drug-facilitated assault. Plain radiography identified a large metallic aerosol can, and attempts to retrieve it under general anesthesia using surgical clamps and a magnetic probe failed. Intraoperative fluoroscopy demonstrated that the can had migrated proximal to the rectosigmoid junction into the left colon, precluding transanal extraction. The patient underwent exploratory laparotomy with longitudinal colotomy, permitting safe removal of the foreign body without evidence of perforation or visceral injury. This case illustrates the critical role of intraoperative fluoroscopy when digital examination fails, the indications for operative intervention in proximally migrated foreign bodies, and the importance of considering drug-facilitated assault as an etiology.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Medicine Rutgers New Jersey Medical School Newark New Jersey USA.",
    "Department of Surgery St. Mary's General Hospital Passaic New Jersey USA.",
    "Department of Gastroenterology East Orange Veterans Affairs Medical Center New Jersey USA."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Rohan Karkra",
      "orcid": "0000-0002-3957-2482"
    },
    {
      "affs": [
        1
      ],
      "name": "Kenneth R Wilhalme",
      "orcid": "0009-0005-9899-3980"
    },
    {
      "affs": [
        0
      ],
      "name": "Sameer Rao",
      "orcid": "0009-0006-4576-1745"
    },
    {
      "affs": [
        0
      ],
      "name": "Ethan Shamsian"
    },
    {
      "affs": [
        0
      ],
      "name": "Vraj Shah",
      "orcid": "0000-0002-0123-7275"
    },
    {
      "affs": [
        1
      ],
      "name": "Edwin Teehan"
    },
    {
      "affs": [
        2
      ],
      "name": "Sima Vossough-Teehan"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7r7ccfcpzcq93.bib",
  "cited_by": 0,
  "doi": "10.1002/ccr3.73769",
  "fulltext_url": "https://europepmc.org/articles/PMC13680866",
  "id": "7r7ccfcpzcq93",
  "issns": [
    "2050-0904"
  ],
  "landing_url": "https://europepmc.org/article/MED/42903298",
  "language": "eng",
  "licence": "CC-BY-NC-ND",
  "licence_label": "CC BY-NC-ND",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc-nd/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2741|Foreign Body Medical Cases"
    ]
  ],
  "openalex": "W7223058008",
  "pdf_url": "https://europepmc.org/articles/PMC13680866?pdf=render",
  "pmcid": "PMC13680866",
  "pmid": "42903298",
  "published": "2026-10-19",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/7r7ccfcpzcq93.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:19:53Z",
      "native_id": "MED:42903298",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42903298"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2741|Foreign Body Medical Cases",
      "subfield": "imaging"
    }
  ],
  "title": "Retained Colorectal Foreign Body After Suspected Chemical Incapacitation: A Surgical and Forensic Challenge.",
  "title_text": "Retained Colorectal Foreign Body After Suspected Chemical Incapacitation: A Surgical and Forensic Challenge.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:19:53Z",
  "url": "https://research.draconitic.com/paper/7r7ccfcpzcq93",
  "venue": "Clinical case reports",
  "versions": []
}