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Vibrator-induced fatal rectal perforation.

Naseem G Waraich1, James S Hudson, Syed Y Iftikhar

  • 1Department of Surgery, Derby Hospitals NHS Foundation Trust, Derby, UK. naseem.waraich@nottingham.ac.uk

The New Zealand Medical Journal
|August 30, 2007
PubMed
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Rectal perforation from foreign body insertion during sexual activity can cause severe peritonitis and death. This case highlights the critical risks of unusual sexual practices, even with anterior rectal wall injuries.

Area of Science:

  • Gastroenterology
  • Trauma Surgery
  • Sexual Health

Background:

  • Foreign body perforation of the rectum is a rare but recognized complication.
  • Unusual sexual practices involving foreign object insertion can lead to severe rectal trauma.
  • Prompt surgical intervention is crucial for managing rectal perforations.

Observation:

  • A middle-aged male presented with abdominal pain and rectal bleeding secondary to an anterior rectal perforation.
  • The perforation was linked to recent anal intercourse involving a vibrator and a history of inserting other foreign objects.
  • Despite surgical repair and intensive care, the patient developed acute respiratory distress syndrome (ARDS), systemic inflammatory response syndrome (SIRS), and multiple organ dysfunction syndrome (MODS).

Findings:

Related Experiment Videos

  • This case represents a rare instance of mortality due to anterior rectal wall perforation from foreign body insertion.
  • Established fecal peritonitis significantly contributed to the fatal outcome.
  • Late presentation exacerbated the severity of the condition and treatment challenges.

    • Implications:

    • Highlights the potentially fatal consequences of rectal injuries sustained during unconventional sexual practices.
    • Underscores the importance of patient history and prompt management in cases of rectal trauma.
    • Emphasizes that even anterior rectal perforations, previously considered less lethal, can be fatal if complicated by peritonitis and organ failure.