I went to evaluate the patient and the mother said "I haven't been able to find the Ken doll that he plays with for days...I think he swallowed it." I replied, "Does he have a history of eating large objects?" The mother said, "Well, he periodically eats things if you don't keep an eye on him." I then replied, "What has he eaten in the past?" The mother stated, "Well, last week a VHS tape went missing and after a couple days I noticed some black magnetic tape hanging out of his bottom." I was puzzled, "Really, did you go see a Doctor?" She replied, "No, I saw the tape hanging there and just slowly started pulling and got about 6 feet of tape out of his bottom." I was astonished but continued with the history, "So has he been acting different since the Ken doll went missing. Such as vomiting or no bowel movements?" The mother looked toward her son, deep in thought... "Come to think of it. He has vomited a couple times and has not gone number two for at least two days."
Reassurance did not help...mom SWORE he had to have eaten the 12 inch Ken doll. Then...the patient became acutely ill. He started to look more and more like an acute abdomen, and X rays showed an obstruction. Surgery was consulted, and he was taken to the OR for an exploratory laparotomy. The findings were pretty amazing. It seemed as though he bit off the head of the doll, swallowed it, then went for the extremities one by one, then finished off with the torso. Kens head was lodged in the small intestine! Eventually, they got the rest out, and this missing person case was put to rest. Another good reason why boys shouldn't play with dolls!