Colon perforation with severe peritonitis caused by erotic toy insertion and treated using vacuum-assisted closure: A case report

Figure 1 The erotic toy. The sex toy has a length of 30 centimeters.

Figure 2 Erect chest X-ray. Erect chest X-ray showing bilateral subphrenic free air, pneumomediastinum, and subcutaneous emphysema in bilateral neck region.

Figure 3 Abdominal computed tomography scan imaging. A and B: Computed tomography (CT) axial and coronal view showing pneumoperitoneum free air (orange arrow); C: CT coronal view showing fatty stranding around the rectum region (white arrow), but no foreign body was observed.

Figure 4 Intraoperative findings. A perforated hole with hemorrhagic area was identified at the anterior wall of rectum (solid arrow).

Figure 5 The wound condition with vacuum-assisted closure therapy. A: The wound before vacuum-assisted closure (VAC) therapy; B: The wound under VAC therapy; C: The wound is clean after VAC therapy for 14 d, and there is granulation tissue formed in the wound bed; D: The wound healed well after closure.