Counting to Infinity

lunaticbinge

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coyote

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by Drs. Roy W. Graves, E. Jackson Allison, Jr., Robert R. Bass, and Richard C. Hunt
from Southern Medical Journal -- Vol.76 No.5

FOREIGN BODIES in the colon and rectum are frequently encountered in busy emergency departments. They are almost always self-administered by male patients. To initiate a discussion of the clinical entity of anal sexual eroticism, we present two cases, that of an elderly male patient with a peanut butter jar lodged in his rectum, and a younger man who had a large plastic vibrator on his rectal shelf.

CASE REPORTS
Case 1. A 65-year-old man came to the emergency department of an outlying hospital complaining of lower abdominal pain. A large empty glass jar was discovered in the rectum, and the patient was transferred to the regional medical center for its extraction. The patient reported that he was washing his dog in the shower when he slipped and fell on a glass jar, which entered his rectum. Physical and radiologic examinations showed an inverted glass jar, 8 cm in diameter, located just beyond the anal sphincter. The glass was intact and there was no apparent bleeding. After multiple unsuccessful attempts at removal in the emergency department, the patient was taken to the operating room, given spinal anesthesia, and placed in the jack-knife position; the anal region was prepped and the buttocks separated with tape. Through a Robinson catheter, introduced beyond the exterior of the jar, air was insufflated to break the partial vacuum behind the jar. Then, with the patient in the deep Trendelenburg position, the jar was filled with quick-setting two-inch plaster rolls packed around an Army-Navy right-angle retractor and allowed to set. After approximately 15 minutes, the anal sphincter was retracted with right-angle vaginal retractors and gentle finger pressure was used to massage the edematous tissue over the leading edge of the jar as it was rotated gradually and delivered. Examination of the distal sigmoid, rectum, and anus showed only edema, ecchymoses, and minor abrasions. The patient recovered fully after the procedure and was discharged from the hospital the following morning.

Case 2. Uh... never mind.

interesting....
 
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