scholarly journals A rare case of polyembolokoilamania of nose in a neuropsychiatry patient

2019 ◽  
Vol 5 (3) ◽  
pp. 817
Author(s):  
Sheetal Krishnappa ◽  
Anu Jacob
Keyword(s):  
Foreign Body ◽  
Clinical Examination ◽  
Psychiatric Patient ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Mentally Retarded ◽  
Clinically Normal ◽  
Anterior Aspect ◽  
Retarded Patient ◽  
Medical Morbidity

<p class="abstract">Nasal foreign body is common in children. In adults it is common among mentally retarded, psychiatric patients or is iatrogenic. As most of foreign body in a neuropsychiatry patient goes unnoticed, by the time the patient reaches the surgeon, it will be associated with its complications. So we as doctors should have this in back of mind when we examine a psychiatry or a mentally retarded patient and thorough clinical examination should be done irrespective of the patient’s complaints. We encountered a 25 year old male psychiatric patient presented with complaints of fullness and pain in both ears for three days. The patient had drug abused to cannabis, nicotine, alcohol and inhaling fevibond for four years. On examination bilateral tympanic membrane was intact with no signs of bleeding. Throat was clinically normal. Anterior rhinoscopy visualised a blackish hard mass with a yellowish green mucopurulent discharge in both the nasal cavity. On removal there were multiple variant foreign bodies and a large septal perforation in anterior aspect of septum was visualised. In psychiatry patients, there is a risk of foreign body insertions. This is a great challenge from clinical examination, diagnosing, removal to treating complications if any. Timely detection and prompt treatment will reduce medical morbidity. In this report we try to emphasize the importance of meticulous clinical examination in a psychiatric patient.</p><p> </p>

scholarly journals Ingestion of razor blades, a rare event: a case report in a psychiatric patient

2020 ◽  
Vol 2020 (5) ◽  
Author(s):  
Jhony Alejandro Delgado Salazar ◽  
Natalia Carolina Naveda Pacheco ◽  
Paola Alexandra Palacios Jaramillo ◽  
Santiago Danilo Garzón Yépez ◽  
Victor Rafael Medina Loza ◽  
...  
Keyword(s):  
Foreign Body ◽  
Psychiatric Patient ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Rare Event ◽  
Rare Condition ◽  
Foreign Body Ingestion ◽  
Medical Attention ◽  
Close Monitoring ◽  
Sharp Foreign Body

Abstract Foreign body ingestion is a common condition in clinical practice, thankfully most of the cases do not require any surgery as most foreign bodies can pass through the bowel without injuring it. Treatment depends on the size and kind of foreign bodies. When complications arise, patients may require urgent medical attention. Self-harm by sharp foreign body ingestion is a rare event that must always be promptly treated and should always be prevented. Psychiatric patients and inmates are the most affected population. A high index of suspicion is required to treat this rare condition, which may be preventable if there is adequate mental and medical therapy along with close monitoring and family support. We present the case of a 31-year-old psychiatric patient. After prompt treatment, two razor blades were surgically removed from her intestines. She fully recovered and is doing well on follow-up controls.

Deodorant aerosol spray can in the rectum: a potential fire hazard during surgery

2021 ◽  
Vol 14 (5) ◽  
pp. e241538
Author(s):  
Sivaraman Kumarasamy ◽  
Lileswar Kaman ◽  
Azhar Ansari ◽  
Amarjyoti Hazarika
Keyword(s):  
Foreign Body ◽  
Surgical Procedures ◽  
Foreign Bodies ◽  
Fire Hazard ◽  
Psychiatric Patients ◽  
Young Male ◽  
Energy Devices ◽  
Aerosol Spray ◽  
Rectal Foreign Bodies ◽  
Fire And Explosion

Rectal foreign bodies are not uncommon and often pose a serious challenge to surgeons. In majority, the objects are inserted by self in children, psychiatric patients and for sexual gratification in adults. Various rectal foreign bodies have been reported. Deodorant aerosol spray can in the rectum has not been reported previously. Danger of aerosol dispenser can is the risk of fire and explosion. Especially during any surgical procedures to remove the foreign body using cautery or any energy devices. We report of a rare foreign body of deodorant aerosol spray can in the rectum in a young male patient, which was removed under general anaesthesia.

scholarly journals Unusual foreign body in the upper digestive tract: case report

2018 ◽  
Vol 4 (3) ◽  
pp. 850
Author(s):  
Snigdha Elaprolu ◽  
Gowri Sankar Marimuthu ◽  
Raghul Sekar ◽  
Sunil Kumar Saxena
Keyword(s):  
Case Report ◽  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Unusual Foreign Body ◽  
Upper Digestive Tract ◽  
Entire Gastrointestinal Tract

<p class="abstract">Unusual foreign bodies in the digestive tract are common in psychiatric patients and children requiring screening of the entire gastrointestinal tract. We here report two cases of unusual ingested blunt foreign body in the upper digestive tract managed differently.</p>

scholarly journals Foreign Bodies Ingested by a Mentally Retarded Patient

2015 ◽  
Vol 15 (2) ◽  
pp. 57-85
Author(s):  
Huseyin CEBICCI ◽  
Mustafa ALPASLAN
Keyword(s):  
Foreign Bodies ◽  
Mentally Retarded ◽  
Retarded Patient

scholarly journals Tendency to Ingest Foreign Bodies in Mentally Retarded Patients: A Case with Ileal Perforation Caused by the Ingestion of a Teaspoon

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
İhsan Yıldız ◽  
Yavuz Savaş Koca ◽  
Gökhan Avşar ◽  
İbrahim Barut
Keyword(s):  
Mental Retardation ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Mentally Retarded ◽  
The Body ◽  
Foreign Body Ingestion ◽  
Emergency Laparotomy ◽  
Ileal Perforation ◽  
History Of ◽  
The Right

Introduction. Unintentional foreign body ingestion commonly occurs accidentally in children aged between 3 months and 6 years and at advanced ages or results from psychiatric disorders such as hallucination in patients with mental retardation. Most of the ingested foreign bodies are naturally discharged from the body but some of them may require surgical intervention.Presentation of Case. A 29-year-old mentally retarded female patient was admitted to the emergency service with a two-day history of abdominal pain, nausea, and vomiting. Physical examination revealed abdominal tenderness, defense, and rebound on palpation. Radiological examination revealed diffuse air-fluid levels and a radiopaque impression of a metal object in the right upper quadrant. The metal teaspoon causing ileal perforation was extracted by emergency laparotomy. On postoperative day 7, the patient was uneventfully discharged following a psychiatric consultation.Discussion. Foreign body ingestion can occur intentionally in children at developing ages and old-age patients, or adults and prisoners, whereas it may occur unintentionally in patients with mental retardation due to hallucination. However, repeated foreign body ingestion is very rare in individuals other than mentally retarded patients.Conclusion. Mentally retarded patients should be kept under close surveillance by surgeons and psychiatrists due to their tendency to ingest foreign bodies.

scholarly journals Traheobronchial foreign bodies: evaluation and retrieval by rigid bronchoscopy

2019 ◽  
Vol 5 (6) ◽  
pp. 1552
Author(s):  
Kunzes Dolma ◽  
Anchal Gupta ◽  
Apurab Gupta ◽  
Padam Singh Jamwal
Keyword(s):  
Foreign Body ◽  
Clinical Examination ◽  
Foreign Bodies ◽  
Standard Procedure ◽  
Neck Surgery ◽  
Rigid Bronchoscopy ◽  
Foreign Body Aspiration ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
Delay In Diagnosis

<p class="abstract"><strong>Background:</strong> The foreign body aspiration is one of the commonest ENT emergencies. Delay in diagnosis and treatment may lead to significant morbidity and mortality.</p><p class="abstract"><strong>Methods:</strong> The current study was conducted at Department of Otorhinolaryngology and Head and Neck Surgery, SMGS Hospital, Government Medical College, Jammu, from November 2017 to October 2018. All symptomatic patients diagnosed with foreign body aspiration on the basis of history, clinical examination and radiological evaluation and who underwent rigid bronchoscopic retrieval were included in the study. Fifty patients were studied.  </p><p class="abstract"><strong>Results:</strong> The majority of patients 33 (66%) were between 1 and 3 years of age.12 (24%) patients were over 3 years of age with oldest of 57 years old age with male: female ratio of 2.1:1. The clinical features of these patients were mainly cough, respiratory distress, wheeze, fever, stridor, choking and cyanosis. On bronchoscopy, foreign body was identified in 46 (92%) patients and no foreign body was seen in 4 (8%) patients with suspected foreign body aspiration. The most common type of foreign body was organic (73.91%), with peanuts (47.82%) being the commonest. The most common site was left bronchus seen in 22 (47.83%) patients followed by right bronchus seen in 18 (39.13%) and trachea seen in 6 (13.04%) patients. Overall mortality and morbidity rates were 2.17% and 4.35% respectively.</p><p><strong>Conclusions:</strong> History and clinical examination should be more relied upon as diagnostic tool than radiological findings in diagnosing foreign body inhalation. Rigid bronchoscopic removal of foreign body is the standard procedure for removing tracheobronchial foreign bodies. </p>

scholarly journals A Complicated Case of Foreign Body Oesophagus in an Infant

2015 ◽  
Vol 23 (1) ◽  
pp. 31-33
Author(s):  
Arvind Kumar Verma ◽  
Ruma Guha ◽  
Chiranjib Das ◽  
Saumendra Nath Bandopadhyay
Keyword(s):  
Foreign Body ◽  
Elderly People ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Technical Difficulty ◽  
Accidental Ingestion ◽  
Complicated Case ◽  
Delay In Diagnosis ◽  
One Year ◽  
Safety Pin

Ingestion of foreign bodies is common primarily in children, psychiatric patients, alcoholics and elderly people who use dentures. Selivanov et al. reported that, in most cases of foreign body ingestion, the most common foreign bodies ingested were coins, bones, food debris, safety pins and razor blades. Rarity, technical difficulty in removing the foreign body, complications associated with the delay in diagnosis and treatment, migration of the foreign body extraluminally, site, shape and position of the sharp end of a safety pin makes this case  interesting and worth reporting. We are reporting a case of a one year child presenting to us with accidental ingestion of a safety pin. The case was difficult because the protected end of the safety pin was broken which made both the ends of the foreign body sharp. Also, the ends of safety pin were wide apart and pointing upwards.

Wrist Watch Dial with Machine in Esophagus: A Rare and Dangerous Presentation

2016 ◽  
Vol 1 (3) ◽  
pp. 133-134
Author(s):  
Leena Jain ◽  
Ashish K Maurya ◽  
Shalini Jadia
Keyword(s):  
Foreign Body ◽  
Mentally Retarded ◽  
Life Threatening ◽  
Successful Removal ◽  
Retarded Patient

ABSTRACT An uncommon and dangerous foreign body in the esophagus, like wrist watch dial with machine and three hands, can be life threatening. We report the successful removal of such dangerous foreign body from the esophagus of an adult mentally retarded patient. How to cite this article Maurya AK, Jadia S, Jain L. Wrist Watch Dial with Machine in Esophagus: A Rare and Dangerous Presentation. Int J Adv Integ Med Sci 2016;1(3):133-134.

scholarly journals Perforation of the Urinary Bladder Caused by Transurethral Insertion of a Pencil for the Purpose of Masturbation in a 29-Year-Old Female

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Athanasios Bantis ◽  
Petros Sountoulides ◽  
Christos Kalaitzis ◽  
Stelios Giannakopoulos ◽  
Eleni Agelonidou ◽  
...  
Keyword(s):  
Foreign Body ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Psychiatric Patients ◽  
Lateral Wall ◽  
Psychiatric Disease ◽  
Macroscopic Hematuria ◽  
Pelvic Area ◽  
Left Lateral Wall ◽  
Usual Site

The urethra is a usual site of introduction of foreign bodies for autoerotic stimulation. We present an unusual case of bladder perforation caused by foreign body that was self-inserted in the urethra and consequently slipped inside the bladder in a 29-year-old female patient with psychiatric disease. The patient was referred to our department for macroscopic hematuria and abdominal pain. Imaging studies revealed the presence of a foreign body in the pelvic area which had perforated the left lateral wall of the bladder. The foreign body was removed via open cystotomy. In psychiatric patients hematuria and pelvic pain may result from insertion of a foreign body in the bladder usually during masturbation.

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