Toilet-related injuries and deaths

A toilet.

There have been many toilet-related injuries and deaths throughout history and in urban legends.

Accidental injuries

In young boys, one of the most common causes of genital injury is when the toilet seat falls down while they are standing at the toilet.[1] Smaller children run the risk of drowning if they fall headfirst into the toilet bowl. Injuries to adults include bruised buttocks, tail bones, and dislocated hips from unsuspectingly sitting on the toilet bowl rim because the seat is up or loose. Injuries can also be caused by pinching due to splits in plastic seats or by splinters from wooden seats, or if the toilet itself collapses under the weight of the user. Older high tank cast iron cisterns have been known to detach from the wall when the chain is pulled to flush, causing injuries to the user. The 2000 Ig Nobel Prize in Public Health was awarded to three physicians from the Glasgow Western Infirmary for a 1993 case report on wounds sustained to the buttocks due to collapsing toilets.[2] Furthermore, injuries are frequently sustained by people who stand on toilet seats to reach a height, and slip. There are also instances of people slipping on a wet bathroom floor or from a bath and concussing themselves on the fixture.

Toilet related injuries are also surprisingly common, with some estimates ranging up to 40,000 injuries in the US every year.[3] In the past, this number would have been much higher, due to the material from which toilet paper was made. This was shown in a 1935 Northern Tissue advertisement which depicted splinter free toilet paper.[4] In 2012, 2.3 million toilets in the United States, and about 9,400 in Canada, were recalled due to faulty pressure-assist flush mechanisms which put users at risk of the fixture exploding.[5]

Injuries caused by animals

There are also injuries caused by animals. Some black widow spiders like to spin their web below the toilet seat because insects abound in and around it. Therefore, several persons have been bitten while using a toilet, particularly an outhouse toilet. Although there is immediate pain at the bite site, these bites are rarely fatal.[6] The danger of spiders living beneath toilet seats is the subject of Slim Newton's comic 1972 country song The Redback on the Toilet Seat.

It has been reported that in some cases rats crawl up through toilet sewer pipes and emerge in the toilet bowl, so that toilet users may be at risk of being bitten by a rat.[7] However, many rat exterminators do not believe this, as pipes, at generally six inches (15 centimeters) wide, are too large for rats to climb and are also very slippery. Reports by janitors are always on the top floor, and could involve the rats on the roof, entering the soil pipe through the roof vent, lowering themselves into the pipe and then into the toilet.[8]

In May 2016, an 11 ft snake, a reticulated python, emerged from a squat toilet and bit the man using it on his penis at his home in Chachoengsao Province, Thailand. Both victim and python survived.[9][10]

Self-induced injury

Some instances of toilet-related deaths are attributed to the drop in blood pressure due to the parasympathetic nervous system during bowel movements. This effect may be magnified by existing circulatory issues. It is further possible that people succumb on the toilet to chronic constipation, because the Valsalva maneuver is often dangerously used to aid in the expulsion of feces from the rectum during a bowel movement. According to Sharon Mantik Lewis, Margaret McLean Heitkemper and Shannon Ruff Dirksen, the “Valsalva maneuver … occurs during straining to pass a hardened stool”. “If defecation is suppressed over long periods, problems can occur, such as constipation or stool impaction. Defecation can be facilitated by the Valsalva maneuver. This maneuver involves contraction of the chest muscles on a closed glottis with simultaneous contraction of the abdominal muscles.”[11] This means that people can die while "straining at stool." In chapter 8 of their Abdominal Emergencies, David Cline and Latha Stead wrote that "autopsy studies continue to reveal missed bowel obstruction as an unexpected cause of death".[12]

A 2001 Sopranos episode "He is Risen" shows a fictional depiction of the risk, when the character Gigi Gestone has a heart attack on the toilet of his social club while straining to defecate.[13]

Exploding toilets

In the Victorian era, there was a perceived risk of toilets exploding. These scenarios typically include a flammable substance either accidentally or deliberately being introduced into the toilet water, and a lit match or cigarette igniting and exploding the toilet.[14] In 2014, Sloan's Flushmate pressure-assisted flushing system which uses compressed air to force waste down the drain was recalled after the company received reports of the air tank failing under pressure and shattering the porcelain.[15]

Historical deaths

In 1945, the German submarine U-1206 was sunk after a toilet malfunctioned, resulting in water coming in to the submarine, which when coming into contact with a battery, created chlorine gas, meaning the submarine had to resurface. At the surface, they were sunk by Allied Forces. This case may not be due to toilet malfunction, due to the possibility that the pressurized flushing system in the U-Boats, which was incredibly complex and required a training course to operate, may not have been properly operated.[16]

Godfrey the Hunchback, Duke of Lower Lorraine (an area roughly coinciding with the Netherlands and Belgium) was murdered in 1069 when staying in the Dutch city of Vlaardingen. Supposedly, the assassin made sure which of the latrines, which were built and drained on the outer side of the wall, according to medieval building style, belonged to the duke’s sleeping room, and took a position underneath. Some sources say that a sword was used for the assassination; others mention a sharp iron weapon, which could have been a sword but also a spear or a dagger, but a spear seems to be the most practical choice. After being stabbed in the bottom it took him several days to die. The assassination was ordered by Dirk V Count of Holland and his ally Robrecht the Frisian, Count of Flanders.[17]

King Wenceslaus III of Bohemia was murdered with a spear while sitting in the garderobe on August 4, 1306.[18]

George II of Great Britain died on the toilet on October 25, 1760 from an aortic dissection. According to Horace Walpole's memoirs, King George "rose as usual at six, and drank his chocolate; for all his actions were invariably methodic. A quarter after seven he went into a little closet. His German valet de chambre in waiting heard a noise, and running in, found the King dead on the floor." In falling he had cut his face.[19]

Ioan P. Culianu was shot dead while on the toilet in the third-floor men's room of Swift Hall on the campus of the University of Chicago on 21 May 1991, in a possibly politically-motivated assassination. His killer has never been caught. [20]

Possible occurrences

Urban legends

Urban legends have been reported regarding the dangers of using a toilet in a variety of situations. Several of them have been shown to be questionable. These include some cases of the presence of venomous spiders[30] Except for the Australian redback spider who has a reputation for hiding under toilet seats.[31] These recent fears have emerged from a series of hoax emails originating in the Blush Spider hoax, which began circulating the internet in 1999.[32] Spiders have also been reported to live under seats of airplanes, however, the cleaning chemicals used in the toilets would result in an incompatibility with spider's survival.[33] In large cities like New York City, sewer rats often have mythical status regarding size and ferocity, resulting in tales involving the rodents crawling up sewer pipes to attack an unwitting occupant. Of late, stories about terrorists booby trapping the seat to castrate their targets have begun appearing.[34] Another myth is the risk of being sucked into an aircraft lavatory as a result of vacuum pressure during a flight.[35]

See also


  1. "Genital injury". MedlinePlus Medical Encyclopedia. Retrieved 2005-12-20.
  2. Wyatt JP, McNaughton GW, Tullett WM (December 1993). "The collapse of toilets in Glasgow". Scottish Medical Journal. 38 (6): 185. PMID 8146638.
  3. "40,000 toilet-related injuries in the US, Every Year". Retrieved 2015-10-25.
  4. "History of Toilet Paper". Retrieved 2015-10-25.
  5. "Consumer Product Safety Commission News Release: Flushmate Recalls Flushmate® III Pressure-Assisted Flushing System Due to Impact and Laceration Hazards". June 21, 2012.
  6. See, for instance, Raymond W. Thorp and Weldon Dwight Woodson, Black Widow: America's Most Poisonous Spider (The University of North Carolina Press, 1945), p.65, 156, 188. "Yikes! Black widow spider bites man right were it hurts." Weekly World News, November 7, 1989. James A. Wilkerson, "Black Widow Spider Bites." In Medicine for Mountaineering & Other Wilderness Activities (2001), p.298.
  7. See Woman on toilet attacked by rat; Rogue rats savage woman on toilet.
  8. "The Straight Dope: Can rats swim up through the (urk) toilet?". Retrieved 2015-10-25.
  9. Cowen, Trace William. "Python Chomps Down on Dude's Penis While He Uses Toilet". Complex Media Inc. Retrieved 27 May 2016.
  10. "Python in Thai toilet gives man nasty shock". BBC News. Retrieved 27 May 2016.
  11. See Sharon Mantik Lewis, Margaret McLean Heitkemper, Shannon Ruff Dirksen, eds., Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 6th edition, Volume 2 (2004), p.951.
  12. David Cline and Latha Stead, Abdominal Emergencies (2007), p.56-65
  13. "The Sopranos Episode 34 He is Risen Synopsis". HBO. Retrieved 18 July 2016.
  14. "10 dangerous things in Victorian/Edwardian homes". BBC News. 16 December 2013.
  15. "Exploding toilets spark recall of flushing system". CBS News. 24 January 2014. Retrieved 27 August 2014.
  16. "QI : Quite Interesting". Retrieved 2015-10-25.
  17. The Assassination of Godfrey the Hunchback:
  18. Charles Edmund Maurice, The Story of Bohemia from the Earliest Times to the Fall of National Independence in 1620 (1896), p.117
  19. Horace Walpole, Memoires of the Last Ten Years of the Reign of George the Second (1822), vol. 2, p. 454.
  20. Ted Anton, Eros, Magic, and the Murder of Professor Culianu
  21. Henry of Huntingdon 2002, p. 15.
  22. Jack Seward, Strange But True Stories from Japan (1999), p.231.
  23. Jonathan Goldstein, Lenny Bruce is Dead (2001).
  24. National Transportation Safety Board, Aircraft Accident Report: Air Canada Flight 797 (pdf) p. 59.
  25. Shepherd, Chuck. News of the Weird, Miami New Times. 23 January 1997. Accessed 25 September 2011.
  26. "US plane crash lands on toilets", BBC News, 2 May 2009
  27. Senior Tory Christopher Shale found dead at Glastonbury festival, The Guardian, Sunday 26 June 2011
  28. Pascoe, David, How to keep your boat from sinking
  29. Boat Owners Association of The United States, Why sailboats sink, 2007
  30. Mikkelson, Barbara & David P. "Toilet Spiders" at Urban Legends Reference Pages.
  32. "UCR Spiders Site: Internet Hoax". Retrieved 2015-10-25.
  33. "The Straight Dope: Do poisonous spiders lurk under toilet seats?". Retrieved 2015-10-25.
  34. Mikkelson, Barbara & David P. "The Salami Slicer" at Urban Legends Reference Pages.
  35. Mikkelson, Barbara & David P. "Stuck on You" at Urban Legends Reference Pages.
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