Intentional ingestion of batteries and razor blades by a prisoner: a true emergency?

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ioannis Pantazopoulos ◽  
Georgios Mavrovounis ◽  
Maria Mermiri ◽  
Antonis Adamou ◽  
Konstantinos Gourgoulianis
Keyword(s):  
Foreign Body ◽  
Design Methodology ◽  
Foreign Bodies ◽  
Aluminum Foil ◽  
Literature Report ◽  
Content Type ◽  
Alkaline Batteries ◽  
Intentional Ingestion ◽  
Current Guidelines ◽  
Commit Suicide

Purpose Few case studies in the literature report on adult patients with intentional foreign body ingestion. Prisoners deliberately ingest foreign bodies, such as cylindrical alkaline batteries and razor blades, to achieve hospitalization or commit suicide. The purpose of this paper is to present a case of deliberate ingestion of batteries and razor blades by an inmate. Design/methodology/approach The authors present a case of an incarcerated man in Greece, who intentionally ingested three cylindrical alkaline batteries and three razor blades wrapped in aluminum foil. Findings The patient was treated conservatively with serial radiographs and was subsequently discharged without complication. This paper discusses the complications and examine the current guidelines available. Originality/value To best of authors’ knowledge, this is the first report of a simultaneous ingestion of batteries and razor blades.

scholarly journals Influencing the influencers

2018 ◽  
Vol 34 (12) ◽  
pp. 15-16 ◽  
Keyword(s):  
Case Studies ◽  
Social Marketing ◽  
Design Methodology ◽  
Reading Time ◽  
Civil Disobedience ◽  
Cutting Edge ◽  
Content Type ◽  
Pertinent Information ◽  
Current Guidelines ◽  
Practical Implications

Purpose This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting-edge research and case studies. Design/methodology/approach This briefing is prepared by an independent writer who adds their own impartial comments and places the articles in context. Findings Upstream social marketing is the best method of enacting change at the highest levels without resorting to violence or civil disobedience. This briefing provides a succinct overview of the current guidelines for successfully implementing upstream social marketing. Originality/value The briefing saves busy executives, strategists and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy-to-digest format.

Retained Wooden Foreign Body in a Child's Parotid Gland: A Case Report

1998 ◽  
Vol 77 (2) ◽  
pp. 140-143 ◽  
Author(s):  
Audie L. Woolley ◽  
Lee T. Wimberly ◽  
Stuart A. Royal
Keyword(s):  
Foreign Body ◽  
Parotid Gland ◽  
Foreign Bodies ◽  
Interesting Case ◽  
Radiologic Diagnosis ◽  
Diagnostic Challenge ◽  
Experienced Surgeon ◽  
Wooden Foreign Body ◽  
Current Guidelines ◽  
Review Current

Foreign bodies can present a diagnostic challenge to even the experienced surgeon. In one review of 200 surgical cases involving retained foreign bodies, one-third of the cases had been initially missed.1 Wooden foreign bodies in particular pose a challenge to the physician. In the review cited above, only 15% of wooden foreign bodies were well visualized on plain radiographs.1 Acutely, on computed tomography (CT) scans, wooden foreign bodies will usually mimic air.2 However, with time, the attenuation value of a wooden foreign body may increase as moisture is absorbed from the surrounding tissues.3 Once this occurs, the wooden foreign body may mimic fat, water or muscle.2 We present an interesting case of a wooden foreign body in the parotid gland in order to illustrate a common presentation of such a foreign body, to review current guidelines for their clinical and radiologic diagnosis, and to suggest strategies for the management of their unique complications.

scholarly journals The “mule” with golden eggs: Retrieval of unusual foreign body

2015 ◽  
Vol 06 (02) ◽  
pp. 079-080
Author(s):  
Chhavi Wadhwa ◽  
Shibumon Madhavan ◽  
Alfred J. Augustine ◽  
Suresh Shenoy ◽  
Abid Mirza
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Gi Tract ◽  
Unusual Foreign Body ◽  
Upper Gi ◽  
Intentional Ingestion ◽  
History Of ◽  
Upper Gi Endoscopy ◽  
Pass Through ◽  
Body Packers

AbstractForeign body ingestions often consist of benign objects that will readily pass through the gastrointestinal (GI) tract without necessitating further intervention. There are various reports in the literature about intentional ingestion of foreign bodies in prisoners and body packers, which required intervention. We present a case of 44-year-old male with a history of intentional ingestion of 30 gold pellets as a carrier from Dubai to India. The pellets were successfully retrieved by upper GI endoscopy after 1-week of observation and unsuccessful attempts of conservative trial. There have been many foreign body extractions but gold retrieval has been a rare case.

scholarly journals Disk Battery Ingestion A Malpractice Case that Results in Pneumonia

2016 ◽  
Vol 21 (3) ◽  
pp. 196-198 ◽  
Author(s):  
Cihat Şarkış ◽  
Selçuk Yazıcı ◽  
Muhammet Can
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Neck Trauma ◽  
Private Hospitals ◽  
Alkaline Batteries ◽  
X Ray ◽  
Clinical Impairment ◽  
Chest X Ray ◽  
Increasing Risk ◽  
Swallowed Foreign Bodies

Alkaline batteries have become the second most swallowed foreign bodies following coins. Most cases have an uncomplicated course, but some may lead to serious complications and even death.Here we report a 28 months old boy who had experienced discomfort, eating refusal, vomiting and slightly wheezing after falling from a sofa bed. He has been in three different county hospitals and two private hospitals due to complaints, has been examined by two pediatricians and a cranial surgeon. A cranial CT imaging, a cranial X-ray radiograph and a chest X-ray radiograph was obtained. Firstly, diagnosed as head and neck trauma, then diagnosed as acute bronchiolitis, and finally pneumonia. Hospitalized twice. Finally, a chest radiograph revealed a button battery in the esophagus. The foreign body was endoscopic removed. The child had a quick clinical impairment after removal of the battery.As a result, alkaline batteries with their increasing risk of engulfment poses very serious problems. The parents and physicians should be informed against increasing frequency of ingestion of alkaline batteries by infants and children. Also, clinicians should be careful about the risk of these batteries that they can cause pneumonia and infiltration which may make it difficult to detect the foreign body.

An Unusual Foreign Body Ingestion in a Schizophrenic Patient: Case Report

2005 ◽  
Vol 35 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Benjamin Abraham ◽  
Adekola O. Alao
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Paranoid Schizophrenia ◽  
Auditory Hallucinations ◽  
Foreign Body Ingestion ◽  
Patient Case ◽  
Unusual Foreign Body ◽  
Treatment And Prevention ◽  
Intentional Ingestion ◽  
Extensive Coverage

The topic of foreign body ingestion has received extensive coverage in the areas of surgery, emergency medicine, and pediatrics. A subset of this topic, the intentional ingestion of foreign bodies, however, is much less common, and requires special evaluation and management. Here, we report a case of ingestion of a rolled, metal tuna can lid in a male prison inmate previously diagnosed with depression and paranoid schizophrenia. Following evaluation by the surgical team, the foreign body was removed by laparotomy and the patient was discharged back to the prison without complication. In many cases, ingestions of this type involve a command hallucination ordering the patient to swallow the foreign body. Interestingly, the patient in the present case reported auditory hallucinations commanding him not to swallow the can lid. On further investigation, we found that patient had a proclivity toward this swallowing behavior even prior to his incarceration. Early identification of inmates with this proclivity has important implications for treatment and prevention.

PS01.091: A DANGEROUS FOREIGN BODY IN ESOPHAGUS: ALKALINE BATTERIES

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 75-75
Author(s):  
Yener Aydin ◽  
Atila Eroglu ◽  
Atila Turkyilmaz ◽  
Fatma Genc ◽  
Ali Ulas
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Conflicts Of Interest ◽  
Length Of Hospital Stay ◽  
Morbidity And Mortality ◽  
Esophageal Injury ◽  
Alkaline Batteries ◽  
X Ray ◽  
Alkaline Battery ◽  
Rigid Esophagoscopy

Abstract Background Esophageal foreign bodies are an important clinical condition leading to serious morbidity and mortality. Foreign body swallowing is most common in the group of 6 months to 6 years. Although smooth edges have a lower morbidity in foreign bodies, alkaline batteries are very dangerous. In this study, we aimed to evaluate the results of patients who ingested alkaline batteries. Methods We conducted a retrospective single-center study of 20 patients who were diagnosed with esophageal foreign objects following alkaline battery ingestion between January 2001 and February 2018. All cases were evaluated with posteroanterior chest X-ray and lateral X-ray. Age and sex of the patients, symptoms, localization of foreign body, the method of removing the foreign body, the passing time, length of hospital stay and morbidity and mortality rates were reviewed. Results The cases were 12 males and 8 females. The mean age was 3.2 years (1 month to 14 years). Five cases within 4 hours, 8 cases within 12 hours, 5 cases within 24 hours and 2 cases after 24 hours were referred to our clinic. The foreign body was located in the cervical esophagus in 10 cases, in the midthoracic esophagus in 8 cases, and in distal esophagus in two cases. All cases were quickly taken to the operating room. All cases underwent rigid esophagoscopy under general anesthesia and foreign body was removed. Sixteen cases of esophageal mucosal injury and burns were seen. Perforation and mortality were not observed in any of the cases. Conclusion Severe esophageal injury can occur in a short time after interaction with alkaline battery. Alkaline battery; electrolyte leak, pressure necrosis, mercury toxicity, or alkaline environment. Concentrated potassium hydroxide release has a corrosive effect. In this case, mediastinitis or tracheoesophageal fistula may ocur. Alkaline battery ingestion may result in persistent sequelae with perforation and corrosive esophagitis leading to mediastinitis. For this reason, the battery should be immediately removed by rigid esophagoscopy to prevent the development of these complications. Disclosure All authors have declared no conflicts of interest.

Intracranial foreign bodies: backfire

1973 ◽  
Vol 38 (1) ◽  
pp. 96-98
Author(s):  
B. A. Rocha Campos ◽  
N. Ballalai ◽  
J. Portugal Pinto
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Cranial Cavity ◽  
Content Type ◽  
Fine Print

✓ The authors report 14 cases of a foreign body that penetrated the cranial cavity due to backfire of an over-charged, home-filled metallic cartridge.

Use of centrifuge in the treatment of an intraventricular metallic foreign body

1971 ◽  
Vol 34 (6) ◽  
pp. 800-804 ◽  
Author(s):  
James W. Markham ◽  
Seymour Stein ◽  
Ralph Pelligra ◽  
Philipp Lippe ◽  
Jack Noyes
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Metallic Foreign Body ◽  
Fixed Position ◽  
Content Type ◽  
Bullet Fragment ◽  
Motion Simulator ◽  
Left Lateral Ventricle ◽  
Fine Print

✓ A bullet fragment within the ventricular system was immobilized by use of centrifugation in a 5°-of-freedom-of-motion simulator at 4 to 6 G's. Transient cardiovascular changes occurred, but there were no ill effects clinically. The bullet fragment was immobilized within the ependyma of the left lateral ventricle and has remained in a fixed position during a 22-month follow-up period. A brief review of the treatment of intraventricular foreign bodies is included.

Do Australian media apply recommendations when covering a suicide prevention campaign?

2019 ◽  
Vol 18 (2) ◽  
pp. 135-147
Author(s):  
Renate Thienel ◽  
Marc Bryant ◽  
Gavin Hazel ◽  
Jaelea Skehan ◽  
Ross Tynan
Keyword(s):  
Mental Illness ◽  
Suicide Prevention ◽  
Help Seeking ◽  
Design Methodology ◽  
Content Type ◽  
Community Attitudes ◽  
Prevention Campaign ◽  
Attitudes And Perceptions ◽  
National Campaigns ◽  
Commit Suicide

Purpose Media reporting and portrayals of mental illness and suicide can play an important role in shaping and reinforcing community attitudes and perceptions. Depending on the content, a report about suicide can have either a negative (Werther-) or a positive (Papageno-) effect. Evidence-informed recommendations for the reporting of suicide in Australia are provided under the Mindframe initiative. The purpose of this paper is to assess the application of these recommendations in broadcasts associated with one of the largest national campaigns to promote suicide prevention, the R U OK? Day, a yearly campaign of the Australian suicide prevention charity R U OK? Design/methodology/approach The sample consisted of 112 (32 TV, 80 radio) Australian broadcasts discussing the R U OK? Day suicide prevention campaign during the month preceding the 2015 campaign and on the national R U OK? Day itself. Broadcasts were coded for medium (TV or radio), content (suicide focus, mental illness focus or both) and consistency with Mindframe recommendations. Findings Over 97 per cent of broadcasts used language consistent with Mindframe recommendations. None of the broadcasts used images that negatively portrayed mental illness or suicide; there were no instances of using mental illness to describe a person’s behaviour; and no sensationalizing or glamorising terminology was used in the broadcasts. However, less than 40 per cent of the broadcasts included help-seeking information (e.g. helplines) and some of the broadcasts used negative or outdated terminology (e.g. “commit” suicide; “suffering” from mental illness). Originality/value The present study is the first to examine consistency with reporting recommendations around a national suicide prevention campaign (R U OK? Day). The results can steer improvements in current reporting and inform strategies to optimise future reporting.

Penetrating intracranial wood wounds: clinical limitations of computerized tomography

1988 ◽  
Vol 68 (5) ◽  
pp. 752-756 ◽  
Author(s):  
James E. Hansen ◽  
Steven K. Gudeman ◽  
Richard C. Holgate ◽  
Richard A. Saunders
Keyword(s):  
Foreign Body ◽  
Computerized Tomography ◽  
Case History ◽  
Foreign Bodies ◽  
Content Type ◽  
History Of ◽  
Wooden Foreign Body ◽  
Type Of Injury ◽  
Different Sources ◽  
Fine Print

✓ The case history of a patient with a periorbital penetrating wooden foreign body is presented. The computerized tomography (CT) densities of several different sources of wood were compared using an experimental model. The clinical usefulness and practical limitations of CT in the evaluation of intracranial foreign bodies is discussed, and the management of this type of injury is reviewed.

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