Florida man sneezes intestines out of his body at dinner table at public restaurant in freak injury

Florida diners got the sickening shock of a lifetime when a man sneezed during breakfast at a diner and accidentally expelled his innards all over the table.

An unnamed 63-year-old man who was the recipient of a common digestive surgery , got the stitches out that morning and decided to celebrate with a meal after a 15-day hospitalization. He recently had a cystectomy, a surgical procedure to remove the entire urinary bladder to protect himself from certain cancers.

While he was told to take it easy, he didn't realize that something as simple as a sneeze could cause him to lose his large intestine, which flopped out of his surgery wound, which had not quite healed enough to withstand that pressure.

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The case was published in the American Journal of Medical Case Reports, where the authors state that, "Evisceration is a rare complication of abdominal surgery." Even doctors were shocked by this rare case - but despite the rarity of this side effect, they do urge caution for patients.

"During breakfast, the man sneezed forcefully, followed by coughing. He immediately noticed a "wet" sensation and pain in his lower abdomen. Looking down, he observed several loops of pink bowel protruding from his recent surgical site," the researchers wrote.

"He later related that he was unsure of how to proceed, so he covered the exposed intestines with his shirt. He initially decided to drive himself to the hospital, but concerned that changing his position might injure his bowel, his wife requested an ambulance," the study continues in the case presentation portion.

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The man returned to the Urology clinic that morning, where doctors said his wound appeared well-healed and removed the staples. He and his wife went to breakfast to celebrate.

While eating, the man sneezed forcefully, which triggered some coughing. While 'wound dehiscence' is a well-known complication, this case is important because evisceration through the abdominal surgical site after cystectomy "is poorly described in the medical literature," according to the writers of the study.

Understanding all possible side effects is vital so they may be treated properly. In this case, the man had no idea what to do, and even wanted to drive himself to the emergency room. Sadly, in this case, the responding paramedic did not have a protocol for treating evisceration either.

The doctors who publicized this case say that Emergency Medical Services medical directors should consider incorporating the guidelines for abdominal evisceration published by Tactical Combat Casualty Care, "including controlling visible bleeding, addressing gross contamination by rinsing the bowel with sterile saline or sterile water, covering the exposed bowel with a 'moist, sterile dressing or a sterile water-impermeable covering,' and irrigate these dressings as needed with additional sterile fluid."