Wednesday, December 18, 2013

Sneak preview of A&E's new series "Sex Sent Me To The ER"

Rectal Impaction Following Enema with Concrete Mix
by Peter J. Stephens, M.D., and Mark L. Taff, M.D. 
American Journal of Forensic Medicine and Pathology 8(2):179-182, 1987.
ABSTRACT 
This article describes an unusual rectal foreign body resulting from homosexual anal erotic activities. The patient had used an enema containing a concrete mix which became impacted and required surgical removal. The use, abuse, and complications of enemas are reviewed.
Key Words: Anal eroticism--Colorectal injuries--Enemas, cement--Foreign bodies--Paraphilias.
INTRODUCTION 
During the last 20 years, sexual habits have changed in western society. Both homosexuals and heterosexuals have shown an increasing interest in anal erotic practices, including the use of enemas for sexual enjoyment. We report a case of a klismaphiliac who had an impacted foreign body in his rectum following an enema with a concrete mix. 
CASE REPORT 
A 20-year-old man presented to the emergency room complaining of rectal pain. A well-nourished, well-developed man without signs of intoxication was admitted in no apparent distress. Digital examination of the rectum revealed a stony hard mass. Abdominal plain films showed a vertically oriented, low-lying radiopaque object in the rectum. A spherical radiolucency was noted in the upper pole of the mass. A blood alcohol level was negative. No other drug testing was performed.
Upon further questioning, the patient said that approximately 4 hrs earlier he and his boyfriend had been "fooling around." After stirring a batch of concrete mix, the patient laid on his back with his feet against the wall at a 45-degree angle while his boyfriend poured the mixture through a funnel into his rectum. After the concrete mass hardened, it became so painful that he sought medical care.
Under general anesthesia, the anus was dilated and two Foley catheters were inserted alongside the rectal mass to relieve suction. A concrete case of the rectum was delivered without incident. The rectal mucosa was intact with a hyperemic and edematous appearance.
The patient was kept overnight and discharged uneventfully the following morning. The attending physician recommended a psychiatric consultation, but the patient declined. 
PATHOLOGIC EXAMINATION 
Examination of the specimen revealed a perfect concrete cast of the rectum, measuring 12 X 7 X 5 cm and weighing 275 g (Fig. 2). A thin layer of feces coated the surface and crevices. Grooves in the mass were consistent with rectal mucosal folds. A layer of concrete was chipped off the upper part of the specimen and revealed a white plastic ping-pong ball. This corresponded to the radiolucency observed in the abdominal x-ray (Fig. 1).

Fig. 1

Fig. 2

Next week: Rectal impaction with epoxy resin: A case report

43 comments:

chickelit said...

Eddie Murphy will provide the theme song: link

Methadras said...

The money quote:

"The patient was kept overnight and DISCHARGED uneventfully the following morning."

I see what they did right there. Actually I'm a little surprised that they haven't shown heterosexuals doing things to their anuses. After all, we wouldn't want to the impropriety of showcasing homosexual deviancy to be sub-par to heterosexual deviancy now would we? Why that would be intolerant.

chickelit said...

After all, we wouldn't want to the impropriety of showcasing homosexual deviancy to be sub-par to heterosexual deviancy now would we?

Vaginal plaster-casting just never caught on like vaginoplasty did.

john said...

At least he didn't have a tie cinched around his neck. The combination could have been lethal.

Unknown said...

I'm so old fashioned. What was I thinking? Forget the banana and the zucchini...poured concrete is where it's at.

bagoh20 said...

OK, I've fully taken in this story, but I'm still dumbfounded. I need the patient to explain exactly what his motivation was. All I can think is that he would say "I'm an artist."

YoungHegelian said...

Okay, it's not often I've got to look up a new word, but I'll admit it:Klismaphilia had me stumped.

Michael Haz said...

How'd they manage to trowel it? That must have hurt some.

chickelit said...

@bagoh20: I'm more intrigued as to what role the ping pong ball played. See the text and the arrow in Fig. 1.

Unknown said...

What A&E is doing is extraordinary. Providing enriching educational entertainment for the whole family. Right after the premier of "Sex Sent Me to the ER" they are rolling out brand new episodes of "OW my Balls."

I submit a guess that "Sex Sent Me to the ER" will soon be re-named "Weird Things I Put in My Butt." I won't be watching - so let me know.

If you've ever met or known anyone who has worked in an ER, stories of unusual rectum objects are nothing new. Lots of people "slip and fall" on all sorts of strange. Concrete is a new one, however. I'm with Bags - WTF?

Unknown said...

Really look at figure 2. and then ponder that the guy declined a psychiatric consultation.

I'm out.

Revenant said...

The big mystery to me is how this seemed like a good idea to *sober* people. Eesh.

Palladian said...

I see what they did right there. Actually I'm a little surprised that they haven't shown heterosexuals doing things to their anuses.

Shall I link to goatse? The man in that (in)famous photograph is heterosexual.

chickelit said...

Revenant said...
The big mystery to me is how this seemed like a good idea to *sober* people. Eesh.

Given diminishing medical resources (or even increasing but more such command-controlled resources), how long before will it be OK to discourage people from sticking foreign objects up their butts (or at least deriding such behavior)?

Trooper York said...

Oh.

So now we know why we haven't heard from Titus lately.

chickelit said...

Shall I link to goatse? The man in that (in)famous photograph is heterosexual.

The retort to such a link would be to link to the "Surfin' Bird" scene in John Waters' "Pink Flamingos".

Let's not go there.

bagoh20 said...

"The man in that (in)famous photograph is heterosexual."

Wow, you guys can tell just by looking at it? I'll leave my gaydar calibrated for street level sensitivity.

Evi L. Bloggerlady said...

Paladian: the Goatse dude is "bisexual," but if you a dude and voluntarily getting or giving a fuck to other dudes, I am not sure you get to claim to be heterosexual anymore.

Chip Ahoy said...

They didn't say anything about it getting hot as it cured.

bagoh20 said...

I suspect this episode was preceded by someone being bullied about erectile dysfunction.

"Is that hard enough for you?"

AllenS said...

Eat a lot of Mexican food, and eventually it will just get blown out.

AllenS, MD

Michael Haz said...

The positive thing is that ObamaCare covers the extraction cost for men, women and children. No more sub-standard medical insurance.

ndspinelli said...

Dr. AllenS, Sauerkraut will also work.

President-Mom-Jeans said...

I'm sure this will get much higher ratings than Duck Dynasty. Yeah, and I'm a chinese jet pilot.

Titus will be pleased I'm sure.

Unknown said...

What was the conversation beforehand?
Hey babe. You want a Ready Mix enema? I've warmed up the funnel.

Wait. I think I put a ping pong ball up there.

It's Ok honey -the Ping Pong will only add to the sensation of the new poured patio we are going to build inside of you. You'll love it. It's very special.

chickelit said...

The ping pong ball is the corker in the odd mix of facts.

Leland said...

Meh, I've heard worse. Wife had a guy show up in her ER. He had used an airpump for gratification in a rather horrifying way.

edutcher said...

There's always The Blonde's fave - Bedroom Batman sent me to the ER.

Aridog said...

El Pollo Raylan said...

how long before will it be OK to discourage people from sticking foreign objects up their butts ...

...or their vaginas or both?

This is the de rigueur advertisement for after 10:00 PM on cable television. Yee Haw.

Michael Haz said...

Is this the appropriate time to mention ordering *gifts* via Lem's portal?

Michael Haz said...

How ironic, better how hypocritical, that A&E promos a show called Sex Sent Me To The ER while also suspending Phil Robertson for expressing HIS opinion about sex.

Dust Bunny Queen said...

Shall I link to goatse?

AAAAACK. No!

There are weird, sick and perverted people in the entire spectrum of humanity.

The issue is that people have a right to perceive other people's behaviour as being unacceptable and express, if they feel like it, an opinion without being hounded out of their jobs or harrassed.

That freedom goes for the person with the opinion as well as the freedom of person(s) to engage in behaviour. (As long as those actions are not harmful to others or performed on UN-willing participants. That includes animals).

Other than that. If these guys want to fill up their entire colon with concrete....go for it. Just don't expect me to consider it normal. Because it isn't and it is NOT the practice of the majority.




Icepick said...

How'd they manage to trowel it? That must have hurt some.

BWAHAHA!

Haz, you're always looking for the practical angle on things!

Icepick said...

The big mystery to me is how this seemed like a good idea to *sober* people. Eesh.

Rev, I can't figure out how it would seem like a good idea to DRUNK people.

Icepick said...

Eat a lot of Mexican food, and eventually it will just get blown out.

AllenS, MD


Where was the medical school you attended? Tijuana?

Aridog said...

As for A&E shows...as I commented elsewhere on the Duck Dynasty matter:

I am tickled pink that finally a major liberal production of “mock the back woods Bubba” reality has backfired and a Bubba said what he thought, plain as day. Oh, my reality is tricky, eh? What does Honey Boo Boo and clan think?

Throw in some other reality shows like "Swamp People" and "Ax-Men" and you get the drift..."entertaining hicks" is the idea, right?

Pleases me when real people get real.

The Dude said...

Wouldn't a block of Wisconsin cheddar eventually produce the same results?

chickelit said...

Cheese is constipating.

The Dude said...

Ergo a solid block of cement impacting the rectum.

Rectum? Damn near killed 'em!

Icepick said...

Actually, only a two word comment suffices:

Dumb ass.

Icepick said...

Personally I prefer all the gun crafting shows on Discovery.

William said...

I don't get it. How can there be any form of sexual gratification involved in having concrete poured into your rectum? I read a profile of Kinsey. He apparently had a thing for pipe cleaners being inserted into his urethra. Kinks so weird that even the Japanese say whoa.

William said...
This comment has been removed by the author.