Big_Ass_Spork's Journal: Rectal Foreign Bodies

Rectal Foreign Bodies'Rectal Foreign Bodies' -- from Surgery Magazine (1986)

Collated by Drs. David B. Busch and James R. Starling, Madison, Wis.

The surgical management of two patients presenting with incarcerated, apparently self-inserted foreign bodies is reported. The large volume of prior literature on this subject is reviewed, with tabulation of 182 previous cases by type and number of objects recovered and with a discussion of patients' age distribution, history, complications and prognosis.

Table I Previously reported recovered foreign bodies:

[ed. note: list has been appended to reflect recently found documentation.]

Object Number Recovered

Glass or ceramic
Bottle or jar 31
Bottle with attached rope 1
Glass or cup12
Light bulb 7
Tube 6
Food
Apple 1
Banana 2
Carrot 4
Cucumber 3
Onion 2
Parsnip 1
Plantain (with condom) 1
Potato 1
Salami 1
Turnip 1
Zucchini 2
Wooden
Ax handle 1
Stick or broom handle 10
Miscellaneous or unspecified 3
Sexual Device
Vibrator23* [slashdot.org]
Dildo 15
Kitchen device
Dull knife 1
Ice pick 1
Knife sharpener 1
Mortar pestle2
Spatula (plastic) 1
Spoon 1
Tin cup 1
Miscellaneous tools
Candle 1
Curling Iron [well.com] 1
Flashlight 3
Iron rod 1
Pen 2
Rubber tube [infobahn.com] 1
Screwdriver 1
Toothbrush 1
Wire spring 1
Inflated device
Balloon 1
Balloon attached to cylinder 1
Condom 1
Ball
Baseball 2
Tennis ball 1
Pool cue ball1
Miscellaneous containers
Baby powder can 1
Candle box 1
Shampoo Bottle 1
Snuff box 1
Miscellaneous
Bottle cap **1
Cattle horn 3
Chain (gold) 1
Frozen pig's tail 1
'Kangaroo tumor' # 1
Hair Mousse Cap 1
Plastic rod 1
Stone 2
Toothbrush holder 1
Toothbrush package 1
Whip handle2* [slashdot.org]
Collections (one case of each)
2 Glass tubes
72 1/2 Jeweler's saw
Oil can with potato stopper
Piece of wood, peanut
Umbrella handle and enema tubing
2 Glasses
Phosphorus match ends (homicide)
402 Stones
Toolbox ##
2 Bars soap
Beer glass and preserving pot
Lemon and cold cream jar
2 Apples
Spectacles, suitcase key, tobacco pouch, and magazine
total of 14 collections, with approximately 500 objects

• * number may be larger (text unclear)
  ** cannot exclude ingestion
  # unique case of pedunculated perianal skin tumor habitually
  inserted into rectum
  ## inside a convict; contained saws and other items usable
  in escape attempts.

CASE REPORTS

Case 1. A 39-year-old married white male lawyer presented with a self- inserted perfume bottle in his rectum that he was unable to remove using various objects, including a back scratcher. He had inserted this bottle on previous occasions. Edema of the rectum and sigmoid colon precluded the successful manual removal of the object in the emergency room. A pelvic x-ray film showed the object to be lodged 12 cm proximal to the dentate line. The 3 by 17 cm object, 'Impulse Body Spray,' was removed manually after a spinal anesthetic. The patient was discharged on the second postoperative day. He refused psychologic counseling.

Case 2. A 39-year-old white male was admitted to the University Hospital psychiatric service for evaluation of a 2-week history of bloody diarrhea and auditory hallucinations. Rectal examination revealed a foreign body approximately 3 cm above the anal verge. An x- ray film showed that it was 20 cm in length. The object could not be removed by manual or endoscopic means. The patient consented to extraction of the dildo under general anesthetic. Biopsy specimens of the hemorrhagic rectal mucosa were performed and were negative on Ziehl-Neelson stains for mycobacterial or cryptosporidium infection. The patient was discharged without complications the following day.

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