Foreign bodies in the sigmoid colon of a psychiatric patient following self-mutilation: a case report.

Journal: Journal of medical case reports

Volume: 10

Issue: 1

Year of Publication: 2017

Affiliated Institutions:  Department of Surgery, School of Medicine, College of Health Sciences, AAU, Addis Ababa, Ethiopia. hailuwgs@gmail.com.

Abstract summary 

The act of deliberate injury to one's own body without the help of others is a well-known phenomenon in psychiatric patients. Insertion of foreign bodies into one or more orifices is not uncommon but insertion into a body cavity or the gastrointestinal tract by self-inflicted injury is quite rare.A 32-year-old Ethiopian psychiatric patient presented with left lower abdominal pain of three months' duration following the insertion of foreign bodies via a self-inflicted wound in the left lower quadrant of his abdomen. Radiological evaluation demonstrated the presence of foreign bodies. A laparotomy revealed two metallic and three wooden materials in his sigmoid colon and a hole in his sigmoid that was tightly sealed with omentum. The foreign bodies were successfully removed, the hole was closed primarily, and our patient was discharged uneventfully.This case illustrates that a foreign body can be inserted into the colon through a self-inflicted wound in psychiatric patients, and patients may present months later without having developed generalized peritonitis.

Authors & Co-authors:  Gebresellassie Hailu Wondimu HW

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Ambe P, Weber SA, Schauer M, Knoefel WT. Swallowed foreign bodies in adults. Dtsch Arztebl Int. 2012;109:869–75.
Authors :  1
Identifiers
Doi : 257
SSN : 1752-1947
Study Population
Male,Female
Mesh Terms
Abdominal Injuries
Other Terms
Case report;Foreign bodies;Gastrointestinal;Laparotomy;Patient;Psychiatric;Self-inflicted
Study Design
Case Study,Cross Sectional Study
Study Approach
Country of Study
Ethiopia
Publication Country
England