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- Foreign Bodies
-
- Excerpted from:
-
- Rectal foreign bodies: Case reports and a comprehensive review of
- the world's literature
-
- D.B. Busch, Ph.D., M.D., and J.R. Starling, M.D.
-
- In the journal Surgery, 1986.
-
- Abstract
-
- 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 a tabulation of 182 previous cases by type and number of
- objects recovered and with a discussion of patients' age
- distribution, history, complications, and prognosis. Management
- problems addressed include history, differential diagnosis of
- reported pruitis ni, and handling of suspected assault.
-
- 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
- imported this bottle on previous occasions. Edema of the rectum
- and sigmoid colon precluded the successful manual removal of the
- object in the emergency room. The 3 by 17 cm object, "Impulse Body
- Spray," was removed manually after a spinal anesthetic.
-
- Table I. Previously reported recovered foreign bodies
-
- Glass or ceramic
- Bottle or jar 31
- Bottle with attached rope 1
- Glass or cup 12
- Light bulb 7
- Tube 6
- Total 57
-
- 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
- Total 19
-
- Wooden
- Axe handle 1
- Stick or broom handle 10
- Miscellaneous or unspecified 3
- Total 14
-
- Sexual device
- Vibrator 23
- Dildo 15
- Total 38
-
- Kitchen device
- Dull knife* 1
- Ice pick 1
- Knife sharpener 1
- Mortar pestle 2
- Spatula (plastick) 1
- Spoon 1
- Tin cup 1
- Total 8
-
- Miscellaneous tools
- Candle 1
- Flashlight 2
- Iron rod 1
- Pen 2
- Rubber tube 1
- Screwdriver 1
- Toothbrush 1
- Wire spring 1
- Total 10
-
- Inflated device
- Balloon 1
- Balloon attached to cylinder 1
- Condom 1
- Total 3
-
- Ball
- Baseball 2
- Tennis ball 1
- Total 3
-
- Miscellaneous containers
- Baby powder can 1
- Candle box 1
- Snuff box 1
- Total 3
-
- Miscellaneous
- Bottle cap** 1
- Cattle horn 3
- Frozen pig's tail 1
- "Kangaroo tumor"*** 1
- Plastic rod 1
- Stone 2
- Toothbrush holder 1
- Toothbrush package 1
- Whip handle 2
- Total 13
-
- Grand total 168 cases
-
- Collections (one case 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
- Phosphorous matchends (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 14 collections with approximately 500 objects
-
- * Patient complained of "knife-like pain"
- ** Cannot exclude ingestion
- *** Unique case of pedunculated perianal skin tumor habitually
- inserted into rectum
- **** Multiple episodes of perirectal self-insertion
- ***** Inside a convict; contained saws and other items usable in
- escape attempts
-