ABSTRACT
An unusual case is reported here in which a smooth metal cup stuck up-side-down in the inflamed rectum of a young man for three days was successfully removed after bending the cup to dis-impact it. The patient had consulted multiple hospitals but was refused treatment. He had a lax anal sphincter but the rim of the cup was impacted into the inflamed rectal wall. Bi-valved vaginal speculum and Deaver retractor were used to dis-impact the rim on three sides. A strong artery forceps was used to twist the fourth side inwards thus freeing the edge and to slide the cup out of the anal orifice. This techruque is suitable for metallic foreign bodies with a large diameter impacted in the rectum
Subject(s)
Humans , Male , Rectum , Anal CanalABSTRACT
This study aims to determine whether the combination of diclofenac and hyoscine gives superior pain relief than diclofenac sodium alone. A prospective, non-randomized comparative study. The study was conducted in the Emergency Department of Surgical Unit III at Combined Military Hospital, Rawalpindi from October 31, 2004 to May 01, 2005. A total of 100 patients were included in the study and distributed between two equal groups. Assessment of pain relief was done at 30 and 60 minutes after the administration of drugs. The diagnosis of ureteric colic was confirmed using urine analysis, plain radiography and ultrasonography. It was a prospective non-randomized comparative trial without blinding. A quasi-experimental study. A significantly [p < 0.05] greater number of patients treated with a combination of diclofenac and hyoscine achieved pain relief after 30 minutes as compared to those treated with diclofenac alone. No significant difference was found between the treatment groups after 60 minutes of drug administration. The combination of diclofenac and hyoscine gave a faster pain relief as compared to diclofenac alone in patients of ureteric colic