Document Detail


Vibrator-induced fatal rectal perforation.
MedLine Citation:
PMID:  17726499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A middle-aged man was admitted to our hospital with abdominal pain and bleeding per rectum. Subsequent laparotomy indicated an established faecal peritonitis in relation to an anterior perforation of the upper rectum. He later volunteered that he had anal intercourse 2 days previously with a vibrator at an erotic party. His partner volunteered further information regarding devient practice such as regular insertion of other foreign objects (e.g. shower hose). Tearing of the rectal mucosa following such practices is a recognised complication. However mortality following foreign body perforation is reported as extremely rare in the medical literature. Surgical repair of rectal perforation and intensive treatment did not prevent development of acute respiratory distress syndrome (ARDS) and systemic inflammatory response syndrome (SIRS) hence leading to multiple organ dysfunction syndrome (MODS) and death. This case report highlights the seriousness of rectal injuries following unusual sexual practices. Death in this case can be attributed to the late presentation and established faecal peritonitis. Death due to retroperitoneal perforation following such accidents have been reported in the literature. However previously no cases have been recorded where death occurred due to anterior rectal wall perforation.
Authors:
Naseem G Waraich; James S Hudson; Syed Y Iftikhar
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-08-24
Journal Detail:
Title:  The New Zealand medical journal     Volume:  120     ISSN:  1175-8716     ISO Abbreviation:  N. Z. Med. J.     Publication Date:  2007  
Date Detail:
Created Date:  2007-08-29     Completed Date:  2007-09-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401067     Medline TA:  N Z Med J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  U2685     Citation Subset:  IM    
Affiliation:
Department of Surgery, Derby Hospitals NHS Foundation Trust, Derby, UK. naseem.waraich@nottingham.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Fatal Outcome
Foreign Bodies / complications*
Humans
Intestinal Perforation / etiology*,  surgery
Male
Middle Aged
Peritonitis / etiology,  surgery
Rectal Diseases / etiology*,  surgery
Rectum / injuries*
Sexual Behavior*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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