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me%20and%20pep.jpg Shelley Batts is a Neuroscience PhD candidate at the University of Michigan. She studies hair cell regeneration in the cochlea, and is just embarking on that quixotic quest called 'thesis.' She lies awake at night pondering how science intersects with politics, culture, policy, money, medicine, and religion in an attempt to be more than just a niche scientist sitting in the oh-so-lovely ivory tower. Follow me and my parrot on the quest to get funded, get a PhD, and stay sane.
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Swallowing Beer-Filled Condom Induces Intestinal Blockage..

Category: Risky Business
Posted on: December 8, 2007 8:59 AM, by Shelley Batts

No one could deny that Oktoberfest in Munich would be a roaring good time. However, it seems that a few in attendance occasionally have *too* good of a time and might end up in the emergency room. Now usually, those who do so likely drank too much beer, or fell down and broke an arm, etc. You know, *normal* drunken injuries. However, every now and then you get someone who swallowed a beer-filled condom.

A 31-yr-old man was admitted to the emergency unit in late September with severe abdominal pain and vomiting for the last 2 h. A physical examination revealed predominantly right-sided abdominal pain and marked tenderness in the right upper abdominal quadrant....An abdominal radiograph disclosed intestinal obstruction, and a small bowel follow-through study revealed a filling defect in the right-sided jejunum. Persistent exploration of the patient's history disclosed a visit at the Munich Octoberfest the night before admission, during which the patient had ingested a condom filled with beer. The condom was identified by abdominal CT as a bezoar about 8 cm long and about 2 cm in diameter filled with liquid content. The condom was localized in the upper jejunum. Upper endoscopy was unsuccessful in removing the condom. Because the condom was localized close to the abdominal wall (Fig. 1, arrow), it was finally punctated with a long needle under CT control. Forty ml of a yellow clear liquid were drawn off when the condom slid forward spontaneously. On the next morning, the condom was identified in the patient's stool, and the patient was discharged in good condition......To the best of our knowledge, this is the first report on intestinal obstruction caused by ingestion of a condom filled with alcoholic beverage and its successful transcutaneous treatment.

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The above picture is an imaged cross-section of the man's stomach area. The arrow points to the beer-filled condom which was stuck in his small intestine.

Hat tip to A Good Poop (ironically). [By the way, purveyor of this blog should email me.]

Reference:
Ott et al. 2003. Intestinal obstruction after ingestion of a beer-filled condom at the Munich Octoberfest. Am J Gastroenterol.98(2):512-3.

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Comments

Actually, almost anyone could deny that Oktoberfest in Munich wouldn't be a roaring good time.

Your nit-picking SciBling,

MR

Posted by: Martin R | December 8, 2007 10:10 AM

8cm long? Was it an Indian condom?

Posted by: jvarisco | December 9, 2007 12:27 AM

Ahhhh the Oktoberfest! Fifty thousand Germans and tourists, trying to see who is the last one to stand up. Fond memories.

Posted by: Michael | December 9, 2007 7:58 AM

Being of German ancestry and proprietor of The Friday Fermentable, I have to ask why would anyone wish to preclude intestinal absorption of a fine Oktoberfest lager by encasing it in a condom?

Cocaine smuggling? Yes. Heroin smuggling? Yes. But Marzen-Oktoberfest are available legally outside of Germany.

Posted by: Abel Pharmboy | December 9, 2007 7:16 PM

I like the description of the questioning by the doctors.

"Persistant exploration of the patient's history..."

I can see it now...

"are you sure you don't know what that is in there?"
"I told you I have no idea."
"I don't see how anything like that could get in there without you knowing about it."
"Look, I said I don't know!"

and so on.

Posted by: Russ | December 10, 2007 10:33 AM

I smell an Ignobel for medicine!

Posted by: Eyal Ben David | December 11, 2007 9:09 AM

..or indeed a Darwin award, since without the medical intervention he would have been a goner.

Posted by: Dr Aust | December 11, 2007 12:21 PM

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