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2015 ; 15
(ä): 96-8
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Removal of a sex toy under general anaesthesia using a bimanual-technique and
Magill s forceps: A case report
#MMPMID26322821
Obinwa O
; Robertson I
; Stokes M
Int J Surg Case Rep
2015[]; 15
(ä): 96-8
PMID26322821
show ga
INTRODUCTION: Phallic objects may cause large bowel obstruction if not promptly
removed. A bi-manual technique with the aid of a Magill's forceps is presented
here. PRESENTATION OF CASE: A 68-year-old man presented to the emergency
department with severe lower abdominal discomfort, distension and inability to
pass urine, flatus or bowel motions. He had inserted a phallic object in the
rectum 10 hours prior to presentation and had been unable to remove same.
Abdominal examination was remarkable for distension with tenderness also elicited
suprapubically and in the left iliac fossa. The foreign body was barely palpable
per rectum. Plain radiographs showed prominent left-sided colonic segments.
Following the trial of a manual attempt at removal in the emergency department, a
decision was made to remove this under anaesthesia due to worsening symptoms. The
phallic object was successfully removed under general anaesthesia using bi-manual
manipulation assisted by a pair of Magill's forceps. DISCUSSION: The method of
removal of phallic objects varies from one individual case to another. In the
presence of obstruction, a quick decision must be made for removal under general
anaesthesia and the patient will also need to be consented for laparotomy.
Previous literature described a "cork-in-bottle" technique using myomectomy
screws as well as use of single-incision laparoscopic surgery (SILS) ports for
removal of phallic objects. CONCLUSION: Extraction of phallic objects requires
ingenuity. We describe another minimally invasive technique of removal that adds
to the literature, thereby limiting the need for laparotomy and open removal of
foreign bodies.