Case Report Unusual Case of a Missing Vibrator Device in the Pelvis Greg J. Marchand , 1 Katelyn M. Sainz, 1,2 Ali Azadi, 1 Alexa King, 1 Sienna Anderson, 1 Stacy Ruther, 1 Giovanna Brazil, 1 Lisa Rials, 1 Kelly Ware, 1,3 Asya Osborn, 1 and Sophia Hopewell 1 1 The Marchand Institute for Minimally Invasive Surgery, Mesa, AZ 85209, USA 2 Washington University of Health and Science, San Pedro, Belize 3 International University of the Health Sciences, St. Kitts, USA Correspondence should be addressed to Greg J. Marchand; gm@marchandinstitute.org Received 10 January 2020; Accepted 12 February 2020; Published 26 February 2020 Academic Editor: Giovanni Monni Copyright © 2020 Greg J. Marchand et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Emergency room admissions and surgery secondary to the malfunctioning of devices intended for sexual stimulation are extremely common. Emergency room staff in the United States are commonly skilled in the detection and removal of some of these frequent occurrences. Occasionally, surgical intervention can be warranted if the device enters a cavity that cannot safely be explored in the emergency room setting. We report a case of a vibrator which was lost during sexual activity and appeared on flat plate X-ray to be in the abdominal cavity. A careful history showed that the device was of an unusually narrow diameter, and surgical intervention showed the device ultimately ended up in the bladder without traumatic injury. Following laparoscopic confirmation of the device’s location in the bladder, cystoscopic removal was performed and the patient recovered uneventfully. 1. Introduction Injuries related to sexual activity and usage of devices related to sexual activity are a very common cause of emergency room presentation [1]. Malfunction of these items (particu- larly devices that are intended for insertion into the vagina or the rectum) or the penetration of these items into the vag- inal wall are also common occurrences [2, 3]. Insertion of an object into the vagina and its penetration of the vaginal wall will routinely result in that object penetrating into the abdominal cavity which leads to the possibility of a bowel injury [4, 5]. Penetration of an item into the rectum can lead to the perforation of the rectum or the possibility of the device becoming lodged so high in the rectum that it cannot be safely removed in the emergency room and requires oper- ating room assistance. Penetration of a large object into the bladder and becoming entrapped in the bladder is rare. We report a case of an unusually narrow vibrator becom- ing entrapped in the patient’s bladder and mimicking the appearance of being intra-abdominal on physical exam and X-ray. 2. Case Report A 29-year-old gravida 1 para 0-0-1-0 Ab1 white female pre- sented to the emergency room at approximately 1 a.m. after reporting that she lost her vibrator during sexual activity and could not find it. The patient remarked that she was using the vibrator for direct clitoral stimulation when her partner suddenly initiated vaginal intercourse. The patient remarked that she was uncertain of the location of the vibrator and felt some discomfort briefly, but believed that the vibrator was intravaginal as the intercourse took place. Following the vaginal intercourse, the patient was unable to find a vibrator in her vagina but still had the vibration sensation within her pelvis. When the patient was unable to find the vibrator, she presented to the emergency room. She remarked that the vibration in her pelvis lasted for approxi- mately 30 minutes until stopping, presumably when the bat- teries lost all charge. A flat plate X-ray of the patient’s pelvis showed the vibrator to be approximately at the level of the patient’s intrauterine device in the pelvis. The vibrator was also in a horizontal position (Figure 1). Hindawi Case Reports in Obstetrics and Gynecology Volume 2020, Article ID 8023798, 3 pages https://doi.org/10.1155/2020/8023798