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Removal of 100-Watt Electric Bulb from Rectum
from Annals of Emergency Medicine
November 1982
To the Editor:
In all societies, individuals have introduced foreign bodies into the
rectum, penis, and vagina, sometimes for sexual gratification and sometimes
for unusual psychological reasons. The literature contains many reports of
such instances, particularly with respect to foreign bodies in the rectum.
Objects reported include stones, coke bottles, plastic vibrators, pencils,
sticks, a baseball, knives, screwdrivers, the U-bend of a sink, a sponge
rubber ball, glass tumblers, a pickle bottle, and a beer glass.
This case report adds to the list a 100-watt electric bulb, an object
not previously reported, and describes the technique used for the
successful removal of this fragile object.
A 54-year-old man presented with the complaint that two days earlier
he had drunk whiskey and "did something" to his rectum. He was obviously
embarrassed and reluctant to explain his problem. Rectal examination
revealed a hard, smooth, globular mass. The results of the rest of the
physical examination were within normal limits.
When asked specifically, the patient admitted that an electric bulb
had been in his rectum for two days. He said he had gotten drunk, accepted
a wager of $100 and, using shaving cream as a lubricant, had inserted a
100-watt electric bulb into his rectum. The next day, sober, he realized
that he had done a "stupid" thing but believed that the bulb would come out
unassisted. After two days he became aware of difficulty defacating, and
when he began to experience difficulty urinating, he became frightened and
sought medical help.
AP and lateral films of the pelvis verified the location of the
electric bulb in the rectum, and the patient was taken to the operating
room. He was placed in a face-down position with his hips elevated. The
buttocks were separated and held apart by a circular metal ring. With the
aid of malleable retractors in the rectum, the electric bulb was
visualized, but it was not possible to get a gloved finger over the maximum
diameter of the bulb.
Toy darts with suction cup ends were used to draw the electric bulb to
the sphincter. After drying the glass surface of the bulb with ethyl ether
swabs, we attempted to attach the suction cup end of the dart to the
eletric bulb with cyanoacrylate cement. Four attempts of this maneuver were
unsuccessful: the cement would not stick.
The patient was then turned to the lithotomy position and another dart
was successfully attached to the bulb without any glue, and the bulb was
pulled to the sphincter.
Three #24 Foley catheters with 30-cc terminal balloons were lubricated
with mineral oil and passed over the maximum diameter of the bulb. The
catheters were placed at the six, ten and two o'clock positions. Throughout
this procedure, a steady pull was maintained on the attached dart.
After it was verified by digital examination that the tips and
balloons of the catheters were beyond the maximum diameter of the bulb, the
balloons were inflated with 30 cc of water, and about 30 cc of mineral oil
was injected into the rectum through a Foley catheter. A steady pull of
about five pounds was applied to each catheter, and after about ten minutes
the sphincter began to dilate and the bulb began to emerge.
The electric bulb finally came out through the external sphincter with
no further complications. Sigmoidoscopic examination showed no bleeding or
other injury to the rectal mucosa. After 24 hours of observation, the
patient returned home.
The literature describes various methods that have been employed to
retrieve foreign bodies from the rectum. Because this electric bulb was a
large object (maximum diameter, 61 mm; length from metal end to top, 114
mm) made of fragile glass, special consideration had to be taken to avoid
breakage that would have resulted in lacerations to the rectum and adjacent
structures, with consequent complications.
Ideally, the bulb should be removed intact from the rectum through the
anus. If this is not possible, the abdomen must be opened and the bulb
gently squeezed through the rectum and the anus, with great care taken to
avoid injuring the rectum. Should this method be unsuccessful, the sigmoid
colon must be opened and the bulb removed through the abdominal incision;
however, opening the sigmoid colon is a very lenghy procedure with severe
morbidity and a prolonged recovery period,, and this maneuver should be
reserved as an extraordinary measure.
Vaman S. Diwan, MD, MS
Huntington, West Virginia
Newsgroups: alt.tasteless.jokes
From: Nick Leaton
Date: 1996/12/04
Subject: Re: Removal of a bulb from the rectum [tasteless]
Not sure if this is the best way. The technique that I have heard used
related to a woman who had lost a light bulb in her vagina. They had
trouble getting her to hospital mainly because they didn't want her to
cross her legs and had to carry her down the stairs and out of the house
on a stretcher. Anyway the technique was to manouver the bayonet (This
is the UK where they are not screw fittings) to the entrance of the
vagina. Then two small holes were drilled in the base. Then, with a
syringe, plaster of paris was squirted into the the bulb. You cannot do
this in one go as the P of P gets hot when setting. When the bulb is
full, you squirt in lots of KY jelly, and pull. The medics had a
sweepstake on the wattage and make of the bulb.
Nick
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