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.

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 Unique Pattern of True Foreign-Body Ingestion in the Valley of Kashmir; Sharp Foreign Bodies Outnumbering the Blunt Ones

2019 ◽  
Vol 10 (01) ◽  
pp. 028-032
Author(s):  
Nisar Ahmad Shah ◽  
Showkat Ahmad Kadla ◽  
Asif Iqbal Shah ◽  
Bilal Ahmad Khan ◽  
Inaam Ul Haq ◽  
...  
Keyword(s):  
Foreign Body ◽  
Success Rate ◽  
Foreign Bodies ◽  
Foreign Body Ingestion ◽  
Young Females ◽  
The People ◽  
Early Endoscopy ◽  
Normal Individuals ◽  
Structural Abnormalities ◽  
The Impact

ABSTRACT Background and Aims: Foreign-body ingestion is a common phenomenon, especially in children. In normal adults, foreign-body ingestion is usually accidental and mostly ingestion occurs with food and impaction is a result of structural abnormalities of the upper gastrointestinal tract (UGIT). However, accidental ingestion of nonfood products is unusual; especially ingestion of pins (scarf or safety pins) and needles is unknown. We come across ingestion of these unusual/sharp foreign bodies routinely from the past few years. The aim of this study was to observe, over a period of 1 year, the spectrum of nonfood or true foreign-body ingestion in our community and to see the impact of an early endoscopy on outcome or retrieval of the ingested objects. Materials and Methods: In a prospective observational study, we studied the profile of foreign-body ingestion in normal individuals of all ages and both sexes, excluding the individuals with any structural abnormalities of the gut and the people with psychiatric ailment. Results: Of total 51 patients with foreign-body ingestion, 42 (82%) were 20 or <20 years of age with females constituting 86.3% of the total and males constituting only 13.7%. Foreign bodies ingested included 38 pins (74.5%), seven coins (13.7%), four needles (7.8%), and one denture and a nail (2%) each. Overall 26 (51%) foreign bodies were seen in UGIT (within reach of retrieval) at the time of endoscopy and all of them were retrieved. Nineteen (37.3%) patients reported within 6 h of ingestion, and majority of them (16 = 84.2%) had foreign bodies within UGIT and all of them were removed. Those patients (n = 32; 62.7%) who reported beyond 6 h, only 10 (31.25%) had foreign bodies in UGIT as a result of which the success rate of removal in these patients was only 32%. Conclusion: Most of our patients were young females and the common foreign bodies ingested were sharp including scarf pins followed by coins and needles. The success rate of retrieval was high in those who reported within 6 h of ingestion of foreign body. The rate of retrieval was 100% if foreign body was found on esophagogastroduodenoscopy. Hence, we recommend an early endoscopy in these patients and some alternative to use of scarf pins.

Foreign Body Ingestion

2015 ◽  
Author(s):  
Kunal Jajoo ◽  
Allison R Schulman
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Management Strategies ◽  
The United States ◽  
Foreign Body Ingestion ◽  
Gi Tract ◽  
Food Bolus ◽  
Therapeutic Decisions ◽  
Food Bolus Impaction ◽  
Bolus Impaction

Foreign-body ingestion and food bolus impaction are common causes of esophageal obstruction, with an annual incidence of 13 cases per 100,000, and represent approximately 4% of all emergency endoscopies. Although the majority of foreign bodies that travel to the gastrointestinal (GI) tract will pass spontaneously, 10 to 20% must be removed endoscopically, and 1 to 5% will require surgery. Key diagnostic and therapeutic decisions are based on common factors, including the type of ingested object, number of objects, timing between ingestion and presentation, anatomic location of the object, and presence or absence of symptoms. Complications relating to foreign-body ingestion are typically uncommon; however, the associated morbidity may be severe and occasionally life threatening, and despite the fact that overall mortality has been extremely low, it has been estimated that up to 1,500 deaths occur annually in the United States as a result of foreign-body ingestion. The initial and follow-up management strategies are crucial to preventing morbidity. This review details the epidemiology, etiology and pathophysiology, diagnosis, management, and complications of foreign-body ingestion. Figures show examples of foreign bodies in the esophagus and stomach, three esophageal areas where a foreign body is likely to be impacted, examples of a meat bolus in the esophagus, radiograph of a patient who swallowed one nail and three batteries, and examples of linear erosions of the esophagus and stomach. Tables list the most common GI pathology predisposing individuals to esophageal foreign-body impaction, timing and management of food bolus impaction and foreign-body ingestion, endoscopic management strategies for food bolus impaction and ingested foreign bodies, and radiographic and surgical management strategies for monitoring progress of foreign-body passage through the GI tract. This review contains 5 highly rendered figures, 4 tables, and 78 references.

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 Unusual Foreign Body in Urinary Bladder: A Case Report

2012 ◽  
Vol 1 (1) ◽  
pp. 41-42
Author(s):  
Deb Prosad Paul ◽  
Debasish Das ◽  
Kazi Sohel Iqbal
Keyword(s):  
Case Report ◽  
Urinary Tract ◽  
Foreign Body ◽  
Urinary Bladder ◽  
Foreign Bodies ◽  
Suprapubic Cystostomy ◽  
Unusual Foreign Body ◽  
Medical College ◽  
History Of ◽  
Mobile Charger

In the urinary tract, foreign body is most commonly found in the urinary bladder. It is commonly self-inflicted but can rarely be introduced by other person. Various types of foreign bodies have been reported, which includes infusion set, aluminum rod, gold chain, pearl, fish, pencil etc. Here we report a case of a 28-year young man who gave the history of forceful introduction of a long wire of mobile charger into the bladder by another person. It could not be removed by himself and by the local doctors. Then he was referred to Enam Medical College & Hospital and subsequently was removed by suprapubic cystostomy. DOI: http://dx.doi.org/10.3329/jemc.v1i1.11139J Enam Med Col 2011; 1(1): 41-42

scholarly journals Gastric perforation secondary to ingestion of a plastic bag

2016 ◽  
Vol 98 (2) ◽  
pp. e29-e30 ◽  
Author(s):  
YM Goh ◽  
IM Shapey ◽  
K Riyad
Keyword(s):  
Clinical Practice ◽  
Gastrointestinal Tract ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Gastric Perforation ◽  
Foreign Body Ingestion ◽  
Pathophysiological Process ◽  
Common Presentation ◽  
Plastic Bag ◽  
Pass Through

Foreign body ingestion is a common presentation in clinical practice, seen predominantly in children. Most foreign bodies pass through the gastrointestinal tract without any additional morbidity. We present a case of gastric perforation secondary to the ingestion of a small plastic bag. We discuss the likely pathophysiological process underlying perforation secondary to plastic bag ingestion, which is most commonly associated with the concealment of narcotics.

scholarly journals Acute obstructive cholangitis due to fishbone in the common bile duct: a case report and review of the literature

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Min Yu ◽  
Bowen Huang ◽  
Ye Lin ◽  
Yuxue Nie ◽  
Zixuan Zhou ◽  
...  
Keyword(s):  
Foreign Body ◽  
Bile Duct ◽  
Literature Review ◽  
Foreign Bodies ◽  
Present Review ◽  
Foreign Body Ingestion ◽  
Clinical Value ◽  
The World ◽  
Obstructive Cholangitis ◽  
Post War

Abstract Background Choledocholithiasis is an endemic condition in the world. Although rare, foreign body migration with biliary complications needs to be considered in the differential diagnosis for patients presenting with typical symptoms even many years after cholecystectomy, EPCP, war-wound, foreign body ingestion or any other particular history before. It is of great clinical value as the present review may offer some help when dealing with choledocholithiasis caused by foreign bodies. Case presentation We reported a case of choledocholithiasis caused by fishbone from choledochoduodenal anastomosis regurgitation. Moreover, we showed up all the instances of choledocholithiasis caused by foreign bodies published until June 2018 and wrote the world’s first literature review of foreign bodies in the bile duct of 144 cases. The findings from this case suggest that the migration of fishbone can cause various consequences, one of these, as we reported here, is as a core of gallstone and a cause of choledocholithiasis. Conclusion The literature review declared the choledocholithiasis caused by foreign bodies prefer the wrinkly and mainly comes from three parts: postoperative complications, foreign body ingestion, and post-war complications such as bullet injury and shrapnel wound. The Jonckheere-Terpstra test indicated the ERCP was currently the treatment of choice. It is a very singular case of choledocholithiasis caused by fishbone, and the present review is the first one concerning choledocholithiasis caused by foreign bodies all over the world.

scholarly journals Unusual Foreign Body of Parotid Gland Presenting as Sialolithiasis: Case Report and Literature Review

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Sivapatha Sundaram Sreetharan ◽  
Rajan Philip
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Parotid Gland ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Image Intensifier ◽  
Ct Scans ◽  
Superficial Parotidectomy ◽  
Unusual Foreign Body ◽  
Surgical Options

This case report highlights an unusual case where a foreign body in the parotid gland was initially thought to be sialolithiasis based on CT scans. The foreign body was safely retrieved from the parotid gland without formal superficial parotidectomy using methylene blue and an image intensifier to localize the lesion. Diagnosis and management of foreign bodies in the parotid gland are reviewed, and surgical options in removal of such lesions are discussed.

Foreign-body ingestion: characteristics and outcomes in a lower socioeconomic population with predominantly intentional ingestion

2009 ◽  
Vol 69 (3) ◽  
pp. 426-433 ◽  
Author(s):  
Renee Palta ◽  
Amandeep Sahota ◽  
Ali Bemarki ◽  
Paul Salama ◽  
Nicole Simpson ◽  
...  
Keyword(s):  
Foreign Body ◽  
Foreign Body Ingestion ◽  
Intentional Ingestion ◽  
Lower Socioeconomic

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.

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