04/11/2026
The biggest cucumber 🥒 taken out in a human body
⚠️ Emergency room trauma discretion is advised ⚠️
Case of a foreign re**al body, a large cucumber, penetrating the bowel and needing an urgent laparotomy!!
The first step in the evaluation and management of a patient with a re**al foreign body is to determine whether or not a perforation occurred. When a perforation is suspected, it should be determined as soon as possible whether the patient is stable or unstable. Hypotension, tachycardia, severe abdominopelvic pain, and fevers are indicative of a perforation. If there is free air or obvious peritonitis indicating a perforation, then the patient needs immediate resuscitation with intravenous fluids and broad-spectrum antibiotics followed by an operation. A Foley catheter and nasogastric tube should be placed, and appropriate blood samples should be sent to the laboratory. If the patient appears stable and has normal vital signs and a perforation is suspected, a computed tomographic (CT) scan often helps determine if there has been a re**al perforation.
The majority of cases of re**al foreign bodies are the result of insertion during erotic activity. Typically found objects are vi*****rs, di**os, light bulbs, candles, shot glasses, and bottles. Some re**al foreign bodies may have been initially swallowed but later present with complications in the re**um. Patients may be very embarrassed to disclose the circumstances regarding the foreign body insertion, and there may have been multiple attempts at self-removal.
⚠️ Emergency room trauma discretion is advised ⚠️
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KatyTX HoustonTX MedicalEducation PhysicianAssistant LocalHealthcare credit