Bizarre Objects Trapped up the Anus - Even more Stuff

[bcohen7719]

Provided because of intense interest....

 

1) A link is below for full report;

2) A snippet is below.

 

BC

 

http://emedicine.medscape.com/article/776795-clinical#showall

 

[from: Medscape]

 

Patients with rectal foreign bodies are usually aware of their presence and often present requesting removal. They may also present with rectal pain or bleeding, and less often, abdominal pain.[3]

Patients who have ingested foreign bodies that become lodged in the rectum may present with rectal pain or bleeding, constipation, pain with defecation, pruritus, or diffuse abdominal pain. Symptoms of peritonitis or bowel obstruction also may be present. The usual etiologic objects are sunflower seeds, toothpicks, or bones, and the ingestion is typically unknown.[2]

Patients with rectal foreign bodies may be too embarrassed to mention the foreign body at triage but usually admit the etiology to the physician. Maintain a high suspicion index of rectal foreign body in psychiatric patients or prisoners who present with rectal pain or bleeding.[4, 5]

The vast majority of patients with rectal foreign bodies present because of an inability to remove the object. Some patients claim to have sat or fallen on the object. Older patients may state they were engaged in therapeutic prostatic massage or breaking up fecal impactions when the object was lost. Occasionally, objects such as thermometers or enema tips may become lost. Most patients, however, admit to the history of insertion by self or a partner.[6, 7]

Typically, multiple failed attempts at self-removal have occurred. Ascertaining whether the patient attempted any instrumentation in these attempts is important because this increases the risk of perforation or laceration. Length of time since insertion and presence of rectal or abdominal pain, fever, or rectal bleeding are important elements of the history. The type of object sh

should be determined because fragile or sharp foreign bodies deserve special consideration.

Patients should be asked if the foreign body is the result of assault because this is more likely to result in a serious injury. Notify the legal authorities if the patient has been assaulted.[8]

 

Physical

 

Assess vital signs and general appearance. Fever or hypotension may indicate infection or bleeding. Perform an abdominal examination. Absent bowel sounds, rigidity, or peritoneal signs suggest perforation. The foreign body, especially if large or in a high-lying position, can occasionally be palpated.

A rectal examination should be deferred in patients with known or suspected rectal foreign bodies, especially in prisoners or psychiatric patients, until the location and type of foreign body has been ascertained radiographically. In some cases, dangerous objects such as guns or sharp objects (eg, needles, razor blades) are inserted rectally in an attempt to hide the object or, in the case of psychiatric patients, to injure the examiner.[4] The main purpose of the rectal examination is to check for the presence of blood and the position of the foreign body.

[seeker630]

In the office of the ENT practice I take my father too, there are several glass frames on the wall with objects which have been removed from ears, noses and throats - small bones, coins, tiny toy soldiers, etc. Each is labeled with the region from which it was removed.

 

Imagine something similar in a proctologist's office. I'm sure it would require museum-sized standing display cases!

 

I sense the potential for a travelling show here!