Excerpted from:

Rectal foreign bodies: Case reports and a comprehensive review of
the world's literature

D.B. Busch, Ph.D., M.D., and J.R. Starling, M.D.

in the journal Surgery, 1986.

                        Abstract

The surgical management of two patients presenting with
incarcerated, apparently self-inserted foreign bodies is
reported.  The large volume of prior literature on this subject is
reviewed, with a tabluation of 182 previous cases by type and
number of objects recovered and with a discussion of patients'
age distribution, history, complications, and prognosis.
Management problems addressed include history, differential
diagnosiss of reported pruitis ani, and handling of suspected
assault.


                        Case 1.
A 39-year-old married white male lawyer presented with a
self-inserted perfume bottle in his rectum that he was unable to
remove using various objects, including a back scratcher.  He had
inserted this bottle on previous occasions.  Edema of the rectum
and sigmoid colon precluded the successful manual removal of the
object in the emergency room. ... The 3 by 17 cm object, "Impulse
Body Spray," was removed manually after a spinal anesthetic.


        Table I.  Previously reported recovered foreign bodies

Glass or ceramic
  Bottle or jar                 31
  Bottle with attached rope     1       
  Glass or cup                  12
  Light bulb                    7
  Tube                          6
  Total                         57

Food                    
  Apple                         1
  Banana                        2
  Carrot                        4
  Cucumber                      3
  Onion                         2
  Parsnip                       1
  Plantain (with condom)        1
  Potato                        1
  Salami                        1
  Turnip                        1
  Zucchini                      2
  Total                         19

Wooden
  Ax handle                     1
  Stick or broom handle         10
  Miscellaneous or unspecified  3       
  Total                         14

Sexual device                   
  Vibrator                      23
  Dildo                         15
  Total                         38

Kitchen device                  
  Dull knife*                   1
  Ice pick                      1
  Knife sharpener               1
  Mortar pestle                 2
  Spatula (plastic)             1
  Spoon                         1
  Tin cup                       1
  Total                         8

Miscellaneous tools                     
  Candle                        1
  Flashlight                    2
  Iron rod                      1
  Pen                           2
  Rubber tube                   1
  Screwdriver                   1
  Toothbrush                    1
  Wire spring                   1
  Total                         10

Inflated device                 
  Balloon                       1
  Balloon attached to cylinder  1       
  Condom                        1
  Total                         3

Ball                    
  Baseball                      2
  Tennis ball                   1
  Total                         3

Miscellaneous containers                        
  Baby powder can               1
  Candle box                    1
  Snuff box                     1
  Total                         3

Miscellaneous                   
  Bottle cap**                  1
  Cattle horn                   3
  Frozen pig's tail             1
  "Kangaroo tumor"***           1
  Plastic rod                   1
  Stone                         2
  Toothbrush holder             1
  Toothbrush package            1
  Whip handle                   2
  Total                         13

Grand total                     168 cases

Collections (one case of each)                  
2 Glass tubes                   
72 1/2 Jeweler's saw****                        
Oil can with potato stopper                     
Piece of wood, peanut**                 
Umbrella handle and enema tubing                        
2 Glasses                       
Phosohorous matchends (homicide)                        
402 Stones                      
Toolbox*****                    
2 Bars soap                     
Beer glass and preserving pot                   
Lemon and cold cream jar                        
2 Apples                        
Spectacles, suitcase key, tobacco pouch, and magazine                   
Total 14 collection, with approximately 500 objects                     

*     Patient complained of "knife-like pain"
**    Cannot exclude ingestion
***   Unique case of pedunculated perianal skin tumor habitually
      inserted into rectum
****  Multiple episodes of perirectal self-insertion
***** Inside a convict; contained saws and other items usable in
      escape attempts
.