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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2011, Number 2

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Rev Esp Med Quir 2011; 16 (2)

Foreign body in gastrointestinal tract associated to psychiatric disorder

Botello HZ, García SN, López MMC

Language: Spanish
References: 13
Page: 124-128
PDF size: 234.83 Kb.


ABSTRACT

Intentional ingestion of foreign bodies (EC) has rarely been discussed in psychiatric literature. The victims are mainly psychotic and his actions are motivated by delusions and/or hallucinations. This paper reports the case of a 24-year-old female patient with a history of depression and schizophrenia, which went to the emergency room by ingestion of screwdriver-type tools, referring oppressive epigastric pain, intense without irradiation and without accompanying symptoms, abdominal tenderness was soft, pitting, with pain in epigastrium and left hypochondrium. A plain abdominal radiograph was made, demonstrating radiopaque rectangular, foreign body. Laparotomy was performed, finding three bodies of metal, sharp, intraluminal in jejunum of size 10 x 0.5 cm to 40 cm from the ligament of Treitz. Enterotomy was performed as well as removal of foreign bodies and primary closure of the jejunum. Patient remained hospitalized for 1 week without complications being discharged for improvement and sent to the psychiatric consultation for further management and monitoring. Although it is not defined the relationship between the ingestion of foreign objects and psychiatric illnesses, it is clear the presence of this behavior in these diseases, and although the medical emergency should be handled in the surgical field, we have to find the direct cause of the behavior to avoid cases like this discussion.


REFERENCES

  1. Banse EC, Gorrón MR, Cardemil ND, Riquelme OV y col. Ingestión de cuerpo extraño asociado a trastorno psiquiátrico, casos clínicos. Cuadernos de Cirugía 2003;17:47-51.

  2. Fragoso AT, Luaces FE, Díaz LT. Cuerpos extraños en el aparato digestivo. Rev Cubana Med Gen Integr 2002;18 (4):270-274.

  3. Otero Olay W, Rivera D. Cuerpos extraños en el tracto gastrointestinal. Departamento de Cirugía, Hospital Universitario del Valle.

  4. Navarro JR, Del Cuvillo BA, Porras AE. Cuerpos extraños esofágicos: Nuestra experiencia en diez años. Acta Otorrinolaringol 2003;54:281-285.

  5. Rodríguez-Hermosa JI, Farrés-Coll R, Codina-Cazador A, Olivet-Pujol F y col. Perforaciones intestinales causadas por cuerpos extraños. Cir Esp 2001;69:504-506.

  6. Piulachs J, Jiménez M, Sentis J, Suñol J y col. Ingestión voluntaria de cuerpos extraños en reclusos. Estudio de 50 casos. Rev Quir Esp 1986;13:11-14.

  7. Saviano M, Melita V, Tazzioli G, Farinetti A, Drel B. Videolaparoscopic removal of a foreign body from the liver. Eur J Surg 2000;166:744-746.

  8. Pezilli R, Barakat B, Bertaccini P. Foreign body of the pancreas. Dig Liver Dis 2000;32:179.

  9. Pérez-Torres E, Rodea-Rosas H, Bernal-Sahagún F, Abdo-Francis JM, Palomeque-López A. Tratamiento endoscópico y quirúrgico de dos casos de pica. Rev Med Hosp Gen Mex 2006;69(1):26-31.

  10. Rojas E. Manual de urgencias en medicina interna. Asociación Colombiana de Medicina Interna. Bogotá: Ediciones Acta Médica Colombiana-Servicio de Gastroenterología-Hospital San Juan de Dios.

  11. Pandya VK, Malik R, Lakhole M. Rigid 12 inches long impacted foreign body in upper gastro-intestinal-tract. Ind J Radiol Imag 2006;16(4):495-497.

  12. Selivanov V, Sheldon FG, Cello JP, Crass RA Management of foreign body ingestion. Ann Surg 1984;199(2):187-191.

  13. Sánchez Vallejo G. Cuerpos extraños en tracto gastrointestinal asociados a trastorno mental. Reporte de caso. Rev Col Gastroenterol 2009;24(1):79-85.




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