scholarly journals Self-insertion of a screwdriver into the rectum for sexual pleasure: A case report

2013 ◽  
Vol 10 (1) ◽  
Author(s):  
Mohammad Sharif ◽  
Javad Alizargar
Keyword(s):  
Emergency Department ◽  
Foreign Bodies ◽  
Anal Verge ◽  
Digital Rectal Examination ◽  
Sexual Pleasure ◽  
Lower Quadrant ◽  
Rectal Foreign Bodies ◽  
Sex Toys ◽  
Anal Area ◽  
Manual Extraction

Rectal foreign bodies are rare conditions that happen mostly for sexual purposes. Sex toys are the commonest objects. A 56 year old man came to the emergency department of the Shahid Beheshti Hospital with pain in the left lower quadrant of his abdomen and a feeling of discomfort in the anal area. Digital rectal examination was normal but a metal object was palpable 8cm distal to the anal verge. A plain x-ray demonstrated a screwdriver in the rectum. Initial attempts at manual extraction were unsuccessful in the emergency department. An attempt at removing the screwdriver from the rectum using Kelly Forceps with the patient in the jackknife position was successful.

scholarly journals Rectal perforation caused by a self-inserted foreign body: a case report

2021 ◽  
Vol 8 (9) ◽  
pp. 2803
Author(s):  
R. Sanjay ◽  
Rajendra Bargee ◽  
Pradeep Panwar ◽  
Prashant Kumar
Keyword(s):  
Severe Pain ◽  
Foreign Bodies ◽  
Cell Phones ◽  
Lower Abdomen ◽  
Rectal Perforation ◽  
Rectal Foreign Bodies ◽  
Seeking Behavior ◽  
History Of ◽  
Sex Toys ◽  
High Index Of Suspicion

Rectal foreign bodies have a storied history as a part of anorectal trauma. Objects encountered are most commonly household objects consisting of bottles and glasses. Other objects include tooth brushes, deodorant bottles, food articles, knives, sports equipment, cell phones, flash lights, wooden rods, broom sticks, sex toys including dildos and vibrators, light bulbs, nails, or other construction tools, christmas ornaments, aerosol canisters, cocaine packets, and many more. The reasons for insertion in decreasing order of frequency are autoeroticism, concealment, attention-seeking behavior, accidental, assault and to alleviate constipation. Here we presented a case of 32 years old presented to the ER with complaints of pain in lower abdomen and anal region for 12 hours. He complained of severe pain when he tried to defecate. He gave history of self-insertion of an empty drug vial into his rectum. Rectal foreign bodies represent a challenging and unique field of colorectal trauma. The important factors in dealing with these patients are careful history and physical examination. Patients are often embarrassed about this condition and may conceal the truth. So, a high index of suspicion is required to accurately diagnose.

scholarly journals Rectal Foreign Bodies:A Retrospective Study

2017 ◽  
Vol 6 (1) ◽  
pp. 1367
Author(s):  
Nishith M. Paul Ekka ◽  
Shital Malua ◽  
Pankaj Bodra
Keyword(s):  
Retrospective Study ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Case Reports ◽  
Demographic Data ◽  
Case Series ◽  
Rectal Foreign Bodies ◽  
Obstetric Forceps ◽  
Transanal Extraction ◽  
Manual Extraction

<p><strong>Background</strong>: Reported incidence of rectal foreign bodies is rather rare with only isolated published case reports or case series. Controlled studies of patients with rectal foreign bodies have not been conducted. The approach to the management of these patients has not changed in the last 10-20 years.</p><p><strong>Objective</strong>: The aim of this study was to describe 16 cases of colorectal foreign bodies introduced during sexual activity, gathered by the authors from 2002 to 2016, and to establish an epidemiological and therapeutic pattern.</p><p><strong>Material and methods</strong>: This was a retrospective study that involved retrieval of folders belonging to patients who were treated for foreign body of rectum. The patients demographic data along with type of object (Foreign body), time of presentation and type of treatment required were recorded from the case folders.</p><p><strong>Results</strong>: All the 16 patients in our series were male with a mean age of 42 years. Household bottles (37.8%) were the most common foreign body while a majority of patients presented between 24 to 48 hrs. Laparotomy was done in 8 cases (50%) out of which in 7 cases transanal extraction was done by milking while in 1 case colostomy was done. Manual extraction was successful in 25% while forceps were helpful in another 25%.</p><p><strong>Conclusions</strong>: The incidence of rectal foreign bodies is disproportionately higher in men. Manual extraction with or without the help of obstetric forceps appears to be the treatment modality of choice. The appropriate technique will depend on the size and surface of the retained object and the presence of complications.</p>

scholarly journals Successful Transanal Removal of a Rectal Foreign Body by Abdominal Compression under Endoscopic and X-Ray Fluoroscopic Observation: A Case Report

2016 ◽  
Vol 10 (3) ◽  
pp. 646-652 ◽  
Author(s):  
Hironobu Mikami ◽  
Norihisa Ishimura ◽  
Akihiko Oka ◽  
Ichiro Moriyama ◽  
Takafumi Yuki ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Abdominal Compression ◽  
X Ray ◽  
Large Size ◽  
Rectal Foreign Bodies ◽  
Abdominal Examination

We occasionally encounter patients with various types of rectal foreign bodies. When too large to grasp, transanal removal can be difficult. Here, we report a case of successful manual transanal removal of an 18 × 4 × 4 cm silicon rod without complications. A 50-year-old male came to the emergency department of our hospital 12 h after transanal insertion of a whole silicon rod. An abdominal examination showed no evidence of peritonitis, while X-ray and computed tomography findings revealed a large foreign body in the rectum, without any sign of perforation. Initially, we attempted removal using an endoscopy procedure with conventional endoscopic instruments, including a snare and grasp forceps, though we failed because of the large size. Next, we manually compressed the foreign body from the abdominal wall under endoscopic and X-ray fluoroscopic observation, and successfully removed it in a transanal manner without complications. Endoscopic and X-ray fluoroscopic assistance were helpful to guide the direction and angle of abdominal compression in this case.

Removal of retained rectal foreign bodies in the emergency department

2016 ◽  
Vol 28 (4) ◽  
pp. 459-461 ◽  
Author(s):  
Kevin Ostrowski ◽  
Gillian Edwards ◽  
Kevin Maruno
Keyword(s):  
Emergency Department ◽  
Foreign Bodies ◽  
Rectal Foreign Bodies

scholarly journals Successful Transabdominal Removal of Penetrating Iron Rod in the Rectum: A Case Report

2021 ◽  
Vol 5 (2) ◽  
pp. 137-141
Author(s):  
Jay Lodhia ◽  
David Msuya ◽  
Kondo Chilonga ◽  
Danson Makanga
Keyword(s):  
Health Care Providers ◽  
Multidisciplinary Approach ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Primary Repair ◽  
Sexual Pleasure ◽  
Emergency Laparotomy ◽  
Care Providers ◽  
Emergency Physicians ◽  
Sex Toys

Foreign bodies in the anus and rectum are not uncommon presentations globally. Reasons for foreign bodies in the rectum can be trauma, assault, psychiatric reasons but the most common reason documented is sexual pleasure, and objects range from sex toys to tools to packed drugs. Regardless of the reason, health care providers must maintain nonjudgmental composure and express empathy. Numerous cases have been reported of anorectal foreign body due to various causes. Removal of the objects has mostly been through rectally but some does need surgical intervention. A multidisciplinary approach and radiologic investigations are important to guide in the management outline. Establishment of guidelines for anorectal foreign bodies are needed to guide surgeons and emergency physicians on the course of treatment. We present a case of an eleven-year old school boy slid and fell on an iron rod that penetrated his rectum through his anal canal. Presented with clinical features of peritonitis, where emergency laparotomy was done and the iron rod was extracted abdominally with primary repair of the rectum. The boy recovered well and was discharged four days after with no complications.

scholarly journals Rectal Foreign Body Removal in the Emergency Department: A Case Report

2020 ◽  
Vol 4 (3) ◽  
pp. 450-453
Author(s):  
Samuel Nesemann ◽  
Kimberly Hubbard ◽  
Mehdi Siddiqui ◽  
William Fernandez
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Surgical Intervention ◽  
Clinical Suspicion ◽  
Emergency Physicians ◽  
Review Of The Literature ◽  
Foreign Body Removal ◽  
Rectal Foreign Bodies

Introduction: Rectal foreign bodies (RFB) pose a challenge to emergency physicians. Patients are not often forthcoming, which can lead to delays to intervention. Thus, RFBs require a heightened clinical suspicion. In the emergency department (ED), extraction may require creative methods to prevent need for surgical intervention. Case Report: The authors present a case of a successful extraction of a RFB in the ED and review of the literature. Conclusion: Retained RFBs are an unusually problematic reason for an ED visit. Thus, it is important for emergency physicians to be comfortable managing such cases appropriately.

Use of Ophthalmic Sonography to Evaluate for Intraocular Foreign Body in Both Outpatient and Emergency Department/Urgent Care Patients

2021 ◽  
pp. 875647932110332
Author(s):  
Patrick J. Fish
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Outpatient Setting ◽  
Intraocular Foreign Body ◽  
Urgent Care ◽  
Posterior Chamber ◽  
Emergency Department Setting ◽  
Before And After ◽  
Glass Metal

Intraocular foreign bodies (IOFB) present differently depending on the type of material (wood, glass, metal) for the IOFB, extent of the injury, and location of the injury. IOFB and the injury can cause a perforation or penetration of the globe which can require more extensive treatment including surgery. Proper evaluation of the IOFB and injury can help to determine extent of the injury, the prognosis of the vision, and health of the eye before and after treatment but may be difficult for the physician depending on the view of the posterior chamber being compromised by media or simply by patient sensitivity. The extent of the injury may also prevent proper evaluation due to swelling, lacerations on the lids, or pain. Proper ophthalmic sonography can provide a quick evaluation of the globe for any IOFB in both the outpatient setting as well as emergency department setting. Evaluation via sonography may allow the physician to accurately diagnose and properly treat the patient to help restore and prevent further loss of vision.

scholarly journals Play! A Special Issue

Sexualities ◽  
2021 ◽  
pp. 136346072110136
Author(s):  
Caroline Bem ◽  
Susanna Paasonen
Keyword(s):  
Video Games ◽  
Sexual Pleasure ◽  
Special Issue ◽  
Sexuality Studies ◽  
The Past ◽  
Sexual Representation ◽  
The Social ◽  
Sexual Play ◽  
Sex Toys

Sexuality, as it relates to video games in particular, has received increasing attention over the past decade in studies of games and play, even as the notion of play remains relatively underexplored within sexuality studies. This special issue asks what shift is effected when sexual representation, networked forms of connecting and relating, and the experimentation with sexual likes are approached through the notion of play. Bringing together the notions of sex and play, it both foregrounds the role of experimentation and improvisation in sexual pleasure practices and inquires after the rules and norms that these are embedded in. Contributors to this special issue combine the study of sexuality with diverse theoretical conceptions of play in order to explore the entanglements of affect, cognition, and the somatic in sexual lives, broadening current understandings of how these are lived through repetitive routines and improvisational sprees alike. In so doing, they focus on the specific sites and scenes where sexual play unfolds (from constantly morphing online pornographic archives to on- and offline party spaces, dungeons, and saunas), while also attending to the props and objects of play (from sex toys and orgasmic vocalizations to sensation-enhancing chemicals and pornographic imageries), as well as the social and technological settings where these activities occur. This introduction offers a brief overview of the rationale of thinking sex in and as play, before presenting the articles that make up this special issue.

Deodorant aerosol spray can in the rectum: a potential fire hazard during surgery

2021 ◽  
Vol 14 (5) ◽  
pp. e241538
Author(s):  
Sivaraman Kumarasamy ◽  
Lileswar Kaman ◽  
Azhar Ansari ◽  
Amarjyoti Hazarika
Keyword(s):  
Foreign Body ◽  
Surgical Procedures ◽  
Foreign Bodies ◽  
Fire Hazard ◽  
Psychiatric Patients ◽  
Young Male ◽  
Energy Devices ◽  
Aerosol Spray ◽  
Rectal Foreign Bodies ◽  
Fire And Explosion

Rectal foreign bodies are not uncommon and often pose a serious challenge to surgeons. In majority, the objects are inserted by self in children, psychiatric patients and for sexual gratification in adults. Various rectal foreign bodies have been reported. Deodorant aerosol spray can in the rectum has not been reported previously. Danger of aerosol dispenser can is the risk of fire and explosion. Especially during any surgical procedures to remove the foreign body using cautery or any energy devices. We report of a rare foreign body of deodorant aerosol spray can in the rectum in a young male patient, which was removed under general anaesthesia.

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