In a reversal of fortune, and bodily fluids, a man in the US began ejaculating semen out of his anus and passing faecal matter from his penis, according to a one-of-a-kind case report in Cureus.

More surprising still was that he put up with the problem for years before seeking medical treatment.

The 33-year-old finally presented to a health centre in Texas after five days of testicular pain. He also reported that “a substantial amount” of sperm and urine had been passing through his rectum, as well as pneumaturia and faecaluria, for the past two years.

His history was significant for illicit drug use.