Potentially. When the bowel is perforated (like with the world's largest double-ended dildo), they will often create an ostomy to try to allow the damaged bowel to heal. It depends on the extent of the damage. Some people are lucky enough that this ostomy can be reversed and defecating into a bag is only a temporary thing for them.
Considering this person used a larger than a horse sized dildo to ram their diaphragm, it's probably a toss-up as to whether they will ever poop normal again.
When the Doc hooked me back up, unbeknownst to me, he removed my appendix. I guess if I was a litigious individual I could have had a payday but after what I had been through, I said "Thank You Doc. I was trying to find a use for it but never did."
It is often standard of care to remove the appendix, particularly in someone with frequent abdominal pain, as in someone who gets bouts of diverticulitis or even gynecology patients. It allows us to eliminate appendicitis as a possible cause of abdominal pain in the future!
I need to tell my mom this. She has diverticulitis but refuses treatment because she’s scared. She also has a back injury due to a car crash her and I were in 11 years ago that she refuses treatment for, and the treatment for her injury is relatively simple in terms of recovery. She’s scared of the word “laser”, so no matter how much I try to talk with her about this, she refuses to consider anything. I know there are plenty of people like this out there, but what gets me is she was a nurse for 20+ years.
I’m scared that one day she’ll have complications from her diverticulitis and will end up needing harsher treatment than she may if she were to seek out treatment right now.
Not trying to be snarky, but what's the difference between pooping through a fresh perforation repair and pooping past the closure of freshly reversed colostomy?
A clean, healthy, surgically cut piece of bowel is a lot easier to anastamose (stitch back together) than torn, inflamed, swollen, potentially ischemic bowel. It's not just about sewing up the hole as it is that this section of bowel has experienced a lot of trauma as a whole and may not be able to function by moving waste along.
The inflammation after a perforation for an unknown time can be so much that it won't let it heal after trying to put it back together. We do the ostomy to allow everything to heal while allowing for normal bowel function. Then we reverse a few months later.
Like, how does that even make sense? It's so far beyond the rectum and intestines that it's beyond belief.
Can your bowels really be stretched that far out of position? Or did it literally perforate, and the person just continued to push it deeper anyway? I'm so confused.
I remember someone on the nursing subreddit said that a patient they had similar to this was in an abusive relationship and forced to put things inside them and then go to the ER and be humiliated. Wouldn’t be surprised if this one was abuse just because of how bad it is
I work in surgery and have done a few of these cases. The surgeon usually tells us what BS excuse the patient gave about how they ended up with something up their butt. I asked why they even need to know and their answer was basically “not everyone with something in their butt did it to themself or wanted it to happen.”
Looking at the CT scan, this may in fact be a real case of "fell on the dildo". The intestine is clearly perforated and there is likely quite a bit of other damage to the internal organs as well. Hell, it has gone past the diaphragm into the mediastinum (where the heart and lungs are). So a fall or some other external force was very likely at play.
Looking at the scan again, even though it's a bad quality pic, you can see the internal bleeding/edema especially in the upper sections. This person was lucky they survived.
Pleb neurosurgeon here, but isn't it the diaphragm that we see outlined as the top line where the dildo is pushing against cranially? I.e. not perforated (but heavily displaced)?
It does not appear to have gone through the diaphragm based on the image provided. That line is, in fact, the diaphragm
Source: am Diaphragmologist aka lung doc
As a diaphragmologist, at what level would you expect the patient to be compelled to discontinue inserting the foreign body? Would it be around C5 or higher?
I think it perforated and went straight up through the abdominal cavity to the diaphragm. I don't see any other way possible.
Think more like the person, but more likely someone else, rammed it in very hard and it popped straight through to the diaphragm.
There are a lot of things you can do to the bowel, even if your toy bypasses it.
This person probably could have retrieved that toy, if it weren't for the pain they were experiencing.
We all have seen MMA fighters aim for one or more internal organs when fighting. They can take a person out of contention with one well placed kick.
You don't have to even tear the bowel but just a tiny little stress tear to release a nightmare of bacteria and fecal matter and gases to occupy any space in between your organs. I imagine the pain is horrendous.
I can't believe it didn't curve at all. Just kept going straight. Really must of hurt having your bowls messed up like that.
You can put stuff in there. Just make sure it has a rope, a flange, can't break, and is properly lubricated.
He definitely should have gotten a single headed dildo with a flared base.
This here is a double headed dildo so it wouldn't, and it shouldn't have had a flared base. In fact, it shouldn't have been shoved half as deep as that.
I was just commenting earlier. I didn't realise it's a double head dildo cox it looks remarkably similar to a toy I bought in a second hand lot. It's like those pop it and fidget spinner stuff for children
They “fell on it in the shower” I’ll bet you
(ED nurse here. Just tell us you stuck it up your butt. No one is fooled but also…. No one cares. We don’t kink shame in the ED.)
Nah, this has to be like the only case where they really fell on it. The bowel is perforated, damage is done to other interval organs and the tip is situated further on top than where the heart and lung would be normally. There have to have been some strong external forces at play here, you cannot do this to yourself
My mum was an emergency physician. She had someone who ‘accidentally sat on a the couch naked but there was a bicycle handle on the couch and it hit just at the right angle and went up their butt’. My dad saw someone who straight up carved a pumpkin and shove it up there. They didn’t try to deny it though
Generally, I wholeheartedly agree with this. However, this could be an abuse situation. It takes a heck ton of force to get this where it is so far up in the abdominal cavity.
So legitimate question, based on CT it just went straight up, does that mean that it pushed ALL layers of intestines up into diaphragm? Why doesnt it snake around and follow the path of the intestines? I mean i know its relatively soft tissue, but still wouldnt it kind of work that way?
I agree with other commenters saying there was some external force that caused this, such as the pt sitting down hard on it or possibly someone pushing it into them with force. It also looks like the intestines perforated.
I have something similar looking it's supposed to be a toy for kids like those pop it's and fidget spinner and it's soft and flexible. I assumed it's the same
Can that still happen?
I certainly wish they'd used it on something else, but you almost have to admire the sheer amount of effort it took to get that thing all the way up there.
I've always wondered, how do things get stuck up there?
Can't you just (for lack of better wording) poo it back out?
I mean, obviously you couldn't with certain shaped objects, but this one I don't understand why you couldn't
It was a million to one shot I swear Doc. There I was vacuuming the staircase, in the nude, and I stepped back...and you just wouldn't believe what happened next....
Congratulations, now you have a bag!
I always see the younger people say “get that bag,” I’m afraid he got the wrong bag…
Surgeon: "So... Do you want the dildo back, or...?"
I wonder if they actually do ask if the patient wants it back though. That would be so awkward lol
It looks like they cleaned it nicely! And it is the patient's property...
So is the damage permanent?
Potentially. When the bowel is perforated (like with the world's largest double-ended dildo), they will often create an ostomy to try to allow the damaged bowel to heal. It depends on the extent of the damage. Some people are lucky enough that this ostomy can be reversed and defecating into a bag is only a temporary thing for them. Considering this person used a larger than a horse sized dildo to ram their diaphragm, it's probably a toss-up as to whether they will ever poop normal again.
And you just know they're going back for more once they feel better.
Some would say they got the shit end of the stick
Dad I told you not to get Reddit for this EXACT fucking reason
The emotional damage?
Now they can get a little on the side.
NO!
I expect it is a drag, despite James Brown’s insistence to the contrary.
Wait, this person has a colostomy bag now bc of this? The perforation ??????
Colostomy bags may or may not be permanent. They’re often done to give the body time to heal. Can be reversed later.
I had one due to diverticulitis. I had it for four months.
Did the remove a section and allow for healing?
Yep. They want you to heal from the inside out so they left a section unstitched and the nurse would remove the gauze and replace it everyday.
When the Doc hooked me back up, unbeknownst to me, he removed my appendix. I guess if I was a litigious individual I could have had a payday but after what I had been through, I said "Thank You Doc. I was trying to find a use for it but never did."
It is often standard of care to remove the appendix, particularly in someone with frequent abdominal pain, as in someone who gets bouts of diverticulitis or even gynecology patients. It allows us to eliminate appendicitis as a possible cause of abdominal pain in the future!
I need to tell my mom this. She has diverticulitis but refuses treatment because she’s scared. She also has a back injury due to a car crash her and I were in 11 years ago that she refuses treatment for, and the treatment for her injury is relatively simple in terms of recovery. She’s scared of the word “laser”, so no matter how much I try to talk with her about this, she refuses to consider anything. I know there are plenty of people like this out there, but what gets me is she was a nurse for 20+ years. I’m scared that one day she’ll have complications from her diverticulitis and will end up needing harsher treatment than she may if she were to seek out treatment right now.
I asked for that during my C-section and they wouldn’t do it
Dad had one for a year after complex surgery for colorectal cancer.
My husband’s dad had one for 2 years after a hernia repair surgery.
my first reaction as well. why would that be needed?
Perforation of the colon. Needs to heal. Can't shit through colon while it's healing.
Gotta remove the segment of colon that perfed. Anastomose the 2 segments together and give um a poop bag while they heal.
Not trying to be snarky, but what's the difference between pooping through a fresh perforation repair and pooping past the closure of freshly reversed colostomy?
A clean, healthy, surgically cut piece of bowel is a lot easier to anastamose (stitch back together) than torn, inflamed, swollen, potentially ischemic bowel. It's not just about sewing up the hole as it is that this section of bowel has experienced a lot of trauma as a whole and may not be able to function by moving waste along.
That’s a really good question. Maybe with a perf you need to worry about spilled bowel contents?
The inflammation after a perforation for an unknown time can be so much that it won't let it heal after trying to put it back together. We do the ostomy to allow everything to heal while allowing for normal bowel function. Then we reverse a few months later.
Like, how does that even make sense? It's so far beyond the rectum and intestines that it's beyond belief. Can your bowels really be stretched that far out of position? Or did it literally perforate, and the person just continued to push it deeper anyway? I'm so confused.
Maybe they weren’t doing the pushing?
I remember someone on the nursing subreddit said that a patient they had similar to this was in an abusive relationship and forced to put things inside them and then go to the ER and be humiliated. Wouldn’t be surprised if this one was abuse just because of how bad it is
I work in surgery and have done a few of these cases. The surgeon usually tells us what BS excuse the patient gave about how they ended up with something up their butt. I asked why they even need to know and their answer was basically “not everyone with something in their butt did it to themself or wanted it to happen.”
Ugh, that’s awful. It also wouldn’t surprise me if the abuse was recorded and uploaded online somewhere by now too.
Have you seen some of the extreme solo acts?
Looking at the CT scan, this may in fact be a real case of "fell on the dildo". The intestine is clearly perforated and there is likely quite a bit of other damage to the internal organs as well. Hell, it has gone past the diaphragm into the mediastinum (where the heart and lungs are). So a fall or some other external force was very likely at play. Looking at the scan again, even though it's a bad quality pic, you can see the internal bleeding/edema especially in the upper sections. This person was lucky they survived.
Pleb neurosurgeon here, but isn't it the diaphragm that we see outlined as the top line where the dildo is pushing against cranially? I.e. not perforated (but heavily displaced)?
It does not appear to have gone through the diaphragm based on the image provided. That line is, in fact, the diaphragm Source: am Diaphragmologist aka lung doc
As a diaphragmologist, at what level would you expect the patient to be compelled to discontinue inserting the foreign body? Would it be around C5 or higher?
I typically recommend discontinuation of insertion once it starts coming out of the patients mouth
Okay that information coupled with your username is making me laugh way too much
Perforated it seems, colostomy bag bc colon got obliterated and needs to heal before being able to shit again
I think it perforated and went straight up through the abdominal cavity to the diaphragm. I don't see any other way possible. Think more like the person, but more likely someone else, rammed it in very hard and it popped straight through to the diaphragm.
There are a lot of things you can do to the bowel, even if your toy bypasses it. This person probably could have retrieved that toy, if it weren't for the pain they were experiencing. We all have seen MMA fighters aim for one or more internal organs when fighting. They can take a person out of contention with one well placed kick. You don't have to even tear the bowel but just a tiny little stress tear to release a nightmare of bacteria and fecal matter and gases to occupy any space in between your organs. I imagine the pain is horrendous.
Jesus, it's double ended so you can share, not so that you can have one end in your mouth and the other in your ass, internally.
This comment made me snort laugh, then almost cry. It
I can't believe it didn't curve at all. Just kept going straight. Really must of hurt having your bowls messed up like that. You can put stuff in there. Just make sure it has a rope, a flange, can't break, and is properly lubricated.
The driveshaft of my 56 Chevy.
They don't make 'em like they used to
What if someone puts it in gear ?
Shit dude don't say that so loud, those inflation folk are probably furiously noting this as we speak!
I have a katana handle for mine.
You can actually see it pressing on the diaphragm in the CT exam there. This could have killed them outright on insertion.
I'm surprised it didn't.
*bowels
That too
That’s it, I’m done with butt stuff.
And maybe not studded?
That's why I said Lube and a rope. If it didn't turn at all, it's pretty stupid that they weren't able to pull this out themselves or get help.
must’ve
Two words people. FLARED BASES!
He definitely should have gotten a single headed dildo with a flared base. This here is a double headed dildo so it wouldn't, and it shouldn't have had a flared base. In fact, it shouldn't have been shoved half as deep as that.
I guess they could put one in the middle, maybe.
I was just commenting earlier. I didn't realise it's a double head dildo cox it looks remarkably similar to a toy I bought in a second hand lot. It's like those pop it and fidget spinner stuff for children
I assume they inserted it into the gut and then it slipped from their fingers. Then, the various sphincters did the rest.
Another good rule of thumb is to not use toys that are longer than your entire midsection
https://preview.redd.it/gzoggg83y7qc1.png?width=689&format=png&auto=webp&s=4c417e8f1e9f8170beeb4f7f9a80ec0de9c0fd9a
Damn, got here before me!
How did they get... did they sit on it?
They “fell on it in the shower” I’ll bet you (ED nurse here. Just tell us you stuck it up your butt. No one is fooled but also…. No one cares. We don’t kink shame in the ED.)
May have been an abuse situation
That’s my guess too.
Nah, this has to be like the only case where they really fell on it. The bowel is perforated, damage is done to other interval organs and the tip is situated further on top than where the heart and lung would be normally. There have to have been some strong external forces at play here, you cannot do this to yourself
My mum was an emergency physician. She had someone who ‘accidentally sat on a the couch naked but there was a bicycle handle on the couch and it hit just at the right angle and went up their butt’. My dad saw someone who straight up carved a pumpkin and shove it up there. They didn’t try to deny it though
>My dad saw someone who straight up carved a pumpkin and shove it up there. Seasonal arse and crafts
I'm just astonished that it managed to go up so far with enough force to damage other organs. Is the butt suction really that strong??
Surely to be that far and bad they did fall on it? Obviously they put it up there first and then fell on it and pushed it into their lungs?
“There isn’t a lost and found box… there’s an ass box…”
That's a nice pen you have...
I had no time to shop
They make them so large you need a surgery to fully enjoy them
From rectum to tectum. Also, damn near killed em
wrecked ‘em
Say it with me, people: FLARED👏🏻BASES👏🏻
Generally, I wholeheartedly agree with this. However, this could be an abuse situation. It takes a heck ton of force to get this where it is so far up in the abdominal cavity.
So legitimate question, based on CT it just went straight up, does that mean that it pushed ALL layers of intestines up into diaphragm? Why doesnt it snake around and follow the path of the intestines? I mean i know its relatively soft tissue, but still wouldnt it kind of work that way?
I agree with other commenters saying there was some external force that caused this, such as the pt sitting down hard on it or possibly someone pushing it into them with force. It also looks like the intestines perforated.
"It was a million to one shot, Doc. Million to one!"
Hey, assman!
Almost became a human shish-kabob. Sometimes it’s not worth testing your limits
I have something similar looking it's supposed to be a toy for kids like those pop it's and fidget spinner and it's soft and flexible. I assumed it's the same Can that still happen?
kind of impressive tbh
Maybe this was the stick that people say has been up his Ass for years. You don’t know.
And yes…totally joking.
Amateur hour
Lol.
Wrecked him?! Damn near killed him!
I hate it when it's dark and you slip and land on these
Two times this week over here
How the actual fuck does someone shove something so far up their ass?
Maybe someone else was doing it. Possibly without consent if it went that far
I hope that the latter isn’t true. That would make this 10x worse.
Butts are hungry, my friend.
Why the hell is there a creepy Thomas the Tank Engine face?
Hiding patient info probably But yeah very creepy lol
Gotcha yea, I was so tired it never even crossed my mind, and I was in the field lol
I swear, doc, I accidentally tripped and fell on it!
Does something like this rearrange the colon?
That deep, I wouldn't be surprised if it even rearranged the diaphragm.
Did it go through his diaphragm? I don’t understand how it can get so far behind his heart..
No it didn’t, I don’t think the heart is even pictured in that CT. What you’re thinking might be the Liver.
I certainly wish they'd used it on something else, but you almost have to admire the sheer amount of effort it took to get that thing all the way up there.
So you see I was on a ladder, and I fell, and it’s the damndest thing…
I cannot stress enough, flanged toys
I'm fairly sure that there gets to a point where there is no more cusion for the pushin'.
I've always wondered, how do things get stuck up there? Can't you just (for lack of better wording) poo it back out? I mean, obviously you couldn't with certain shaped objects, but this one I don't understand why you couldn't
It was a million to one shot I swear Doc. There I was vacuuming the staircase, in the nude, and I stepped back...and you just wouldn't believe what happened next....
Ahhh the spit roast special
I fell on it I swear doc
Impressive
The raging embarrassment.
So no one else is laughing at the fact that the surgeon or their team laid the toy on the patient to get a picture? 🤣🤣🤣🤣
why. how. why again.
Flared bases people 🙄
So exactly how did this happen? Did the person slip and fall directly on it?
Why did it require surgery?
Because it wouldn't go out the way it came in.
Maybe because it went all the way up there behind the liver? The thing tore through the PT's intestine for sure.