Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient

Pica among psychiatric patients has been well documented. We report a 25-year-old female patient who presented with abdominal distension for one week. She is a known psychiatric patient for 5 years. Through history taking, physical examination, and investigations, the patient was found to have psych...

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Autores principales: Kivike, Oscar, Soko, Israel, Mgaya, David, Sandi, Frank
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207854/
https://www.ncbi.nlm.nih.gov/pubmed/30416838
http://dx.doi.org/10.1155/2018/2469462
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author Kivike, Oscar
Soko, Israel
Mgaya, David
Sandi, Frank
author_facet Kivike, Oscar
Soko, Israel
Mgaya, David
Sandi, Frank
author_sort Kivike, Oscar
collection PubMed
description Pica among psychiatric patients has been well documented. We report a 25-year-old female patient who presented with abdominal distension for one week. She is a known psychiatric patient for 5 years. Through history taking, physical examination, and investigations, the patient was found to have psychotic features and features of intestinal obstruction. Surgery was done by opening the abdomen and then the stomach. The stomach, together with the proximal intestine, was found to be filled with metallic instruments weighing 780 mg. The diagnosis of a metalophagia type of pica was reached. All instruments were removed and the patient did well postoperatively.
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spelling pubmed-62078542018-11-11 Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient Kivike, Oscar Soko, Israel Mgaya, David Sandi, Frank Case Rep Surg Case Report Pica among psychiatric patients has been well documented. We report a 25-year-old female patient who presented with abdominal distension for one week. She is a known psychiatric patient for 5 years. Through history taking, physical examination, and investigations, the patient was found to have psychotic features and features of intestinal obstruction. Surgery was done by opening the abdomen and then the stomach. The stomach, together with the proximal intestine, was found to be filled with metallic instruments weighing 780 mg. The diagnosis of a metalophagia type of pica was reached. All instruments were removed and the patient did well postoperatively. Hindawi 2018-10-17 /pmc/articles/PMC6207854/ /pubmed/30416838 http://dx.doi.org/10.1155/2018/2469462 Text en Copyright © 2018 Oscar Kivike et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Kivike, Oscar
Soko, Israel
Mgaya, David
Sandi, Frank
Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient
title Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient
title_full Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient
title_fullStr Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient
title_full_unstemmed Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient
title_short Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient
title_sort intestinal obstruction following ingestion of metallic instruments in a psychiatric patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207854/
https://www.ncbi.nlm.nih.gov/pubmed/30416838
http://dx.doi.org/10.1155/2018/2469462
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