145 lines
4.9 KiB
Plaintext
145 lines
4.9 KiB
Plaintext
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Excerpted from:
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Rectal foreign bodies: Case reports and a comprehensive review of
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the world's literature
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D.B. Busch, Ph.D., M.D., and J.R. Starling, M.D.
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in the journal Surgery, 1986.
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Abstract
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The surgical management of two patients presenting with
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incarcerated, apparently self-inserted foreign bodies is
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reported. The large volume of prior literature on this subject is
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reviewed, with a tabluation of 182 previous cases by type and
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number of objects recovered and with a discussion of patients'
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age distribution, history, complications, and prognosis.
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Management problems addressed include history, differential
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diagnosiss of reported pruitis ani, and handling of suspected
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assault.
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Case 1.
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A 39-year-old married white male lawyer presented with a
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self-inserted perfume bottle in his rectum that he was unable to
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remove using various objects, including a back scratcher. He had
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inserted this bottle on previous occasions. Edema of the rectum
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and sigmoid colon precluded the successful manual removal of the
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object in the emergency room. ... The 3 by 17 cm object, "Impulse
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Body Spray," was removed manually after a spinal anesthetic.
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Table I. Previously reported recovered foreign bodies
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Glass or ceramic
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Bottle or jar 31
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Bottle with attached rope 1
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Glass or cup 12
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Light bulb 7
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Tube 6
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Total 57
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Food
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Apple 1
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Banana 2
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Carrot 4
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Cucumber 3
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Onion 2
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Parsnip 1
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Plantain (with condom) 1
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Potato 1
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Salami 1
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Turnip 1
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Zucchini 2
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Total 19
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Wooden
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Ax handle 1
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Stick or broom handle 10
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Miscellaneous or unspecified 3
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Total 14
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Sexual device
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Vibrator 23
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Dildo 15
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Total 38
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Kitchen device
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Dull knife* 1
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Ice pick 1
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Knife sharpener 1
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Mortar pestle 2
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Spatula (plastic) 1
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Spoon 1
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Tin cup 1
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Total 8
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Miscellaneous tools
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Candle 1
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Flashlight 2
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Iron rod 1
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Pen 2
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Rubber tube 1
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Screwdriver 1
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Toothbrush 1
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Wire spring 1
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Total 10
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Inflated device
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Balloon 1
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Balloon attached to cylinder 1
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Condom 1
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Total 3
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Ball
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Baseball 2
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Tennis ball 1
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Total 3
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Miscellaneous containers
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Baby powder can 1
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Candle box 1
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Snuff box 1
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Total 3
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Miscellaneous
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Bottle cap** 1
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Cattle horn 3
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Frozen pig's tail 1
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"Kangaroo tumor"*** 1
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Plastic rod 1
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Stone 2
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Toothbrush holder 1
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Toothbrush package 1
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Whip handle 2
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Total 13
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Grand total 168 cases
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Collections (one case of each)
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2 Glass tubes
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72 1/2 Jeweler's saw****
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Oil can with potato stopper
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Piece of wood, peanut**
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Umbrella handle and enema tubing
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2 Glasses
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Phosohorous matchends (homicide)
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402 Stones
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Toolbox*****
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2 Bars soap
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Beer glass and preserving pot
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Lemon and cold cream jar
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2 Apples
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Spectacles, suitcase key, tobacco pouch, and magazine
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Total 14 collection, with approximately 500 objects
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* Patient complained of "knife-like pain"
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** Cannot exclude ingestion
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*** Unique case of pedunculated perianal skin tumor habitually
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inserted into rectum
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**** Multiple episodes of perirectal self-insertion
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***** Inside a convict; contained saws and other items usable in
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escape attempts
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