AN IRANIAN man who was taken to the hospital with constipation by his wife kept a secret about the true cause.
Doctors described how they removed a large foreign body from his rectum, which had been there for three days.
The 50-year-old unnamed man was taken to hospital by his wife after she became concerned about his lack of appetite, stomach pain and constipation.
He had no vital signs and was not ill.
But after a CT scan, the shocking truth emerged.
It showed a full bottle of water the size of 250 ml stuck in the pelvic area.
The bottom was stuck in the rectum and even went into the colon (large intestine) while the top of the bottle was about 10 mm from the anus opening.
The doctors wrote: “Because of his embarrassment and fear for his wife, he did not disclose any story about the presence of a FB [foreign object] in the rectum and arrived at the emergency room [emergency department] late.”
Clearly, the wife had not been involved in the middle-aged man’s activities.
Fortunately, there was no sign that the man’s intestines had been stuck out of the bottle.
The patient was taken directly into the operation, where he was given anesthesia to relieve the pain.
Then the bottle was “gently and slowly pulled from the rectum to the opening of the anus … by the surgeon without fracture or bleeding”.
After the man spent five days in a hospital ward, there were still no signs of internal injuries and he was discharged.
He was referred to a psychiatric clinic, according to the paper in Clinical Case Reports, when he was listed as having depression.
Experts said most of the time, foreign bodies are inserted into the anus for sexual gratification.
They are usually smooth, rounded or ovoid to make it easier to remove.
But “various instruments, including bulbs, bottles, sticks, spray cans for impulse bodies and turkey bastards” have been picked up by doctors.
The most commonly described are “plastic or glass bottles, cucumbers, light bulbs as well as tube lamps, ax shafts, broomsticks, carrots, wooden or rubber instruments”.
It costs the NHS a staggering £ 350,000 to remove objects that are pushed into the anus every year.
In the case of foreign bodies that need to be removed surgically, more than two thirds of the patients are men between 30 and 40 years of age.
And some surgeons suggest the prevalence is rising, the newspaper reported.
“[Patients] may complain of symptoms such as ambiguous abdominal pain, rectal bleeding, pain and sometimes constipation, ”said Elham Sadat Banimostafavi and colleagues.
They suggested that in all cases where there is abdominal pain, lack of cooperation and psychiatric disorder, a foreign body should be considered.
Delaying treatment – most often due to shame – complicates an already dangerous situation, doctors said.
“Complications such as delayed perforation or severe rectal bleeding may occur even after FB has been extracted.”