Unusual case of intentional ingestion of foreign body in patient with parasuicidal behavior
Abstract Introduction: In developing countries the problem of foreign bodies in Otorhinolaryngology Services is poorly studied. Intake of a foreign body is relatively common in children, but it can occur in adults with mental disorders or in inmates. Description: A patient with psychiatric problems who ingested a metallic object. In the psychiatric evaluation, an anxiety crisis was diagnosed after a family conflict. Extraction with esophagoscopy without complications was performed. Discussion: Voluntary (intentional) intake of an object commonly occurs in patients with psychiatric disorders, especially schizophrenia, mental retardation, or in the inmate population. However, the intake of a large foreign body is linked to a parasuicidal behavior. Conclusions: The presence of a foreign body should always be suspected in patients with psychiatric disorders with odynophagia in the absence of pharyngotonsillitis infection
- Caso inusual de ingesta voluntaria de cuerpo extraño en paciente con comportamiento parasuicida (Unusual case of intentional ingestion of foreign body in patient with parasuicidal behavior) (Español (España))
- Caso inusual de ingesta voluntaria de cuerpo extraño en paciente con comportamiento parasuicida (Unusual case of intentional ingestion of foreign body in patient with parasuicidal behavior) (Español (España))
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Evans DC, Wojda TR, Jones ChD, Otey AJ, Stawicki SP. Intentional ingestions of foreign objects among prisoners: A review. World J Gastrointest Endosc. 2015;7(3):162-8. https://doi.org/10.4253/wjge.v7.i3.162 PMid:25789086 PMCid:PMC4360434
Gitlin DF, Caplan JP, Rogers MP, Avni-Barron O, Braun I, Barsky AJ. Foreign-body ingestion in patients with personality disorders. Psychosomatics. 2007;48(2):162-6. https://doi.org/10.1176/appi.psy.48.2.162 PMid:17329611
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Lewis C, Hsu HK, Hoover E. Aspiration of foreign bodies in adults with personality disorders: impact on diagnosis and recurrence. J Natl Med Assoc. 2011;103(7):620-2. https://doi.org/10.1016/S0027-9684(15)30390-4
Lonnqvist JK. Suicidio. En: Gelder MG, López-Ibor JJ, Andreasen N, editores. Tratado de Psiquiatría. Barcelona: Ars Médica; 2003. p. 1233-40.
Antretter E, Dunkel D, Haring C. The WHO/EURO multi-centre study of suicidal behavior: Findings of the Austrian research centre in Europe-wide comparison. Wien Klin Wochenschr. 2000;112(22):955-64. PMid:11142133
Awe JAA. Overview of the Management of Swallowed Gastrointestinal Tract Foreign Body. Glo Adv Res J Microbiol. 2013;2(6):99-106.
Bostwick JM, Pankratz VS. Affective disorders and suicide risk: A re-examination. Am J Psychiatry. 2000;157(12):1925-32. https://doi.org/10.1176/appi.ajp.157.12.1925 PMid:11097952
Evans DC, Wojda TR, Jones ChD, Otey AJ, Stawicki SP. Intentional ingestions of foreign objects among prisoners: A review. World J Gastrointest Endosc. 2015;7(3):162-8. https://doi.org/10.4253/wjge.v7.i3.162 PMid:25789086 PMCid:PMC4360434
Gitlin DF, Caplan JP, Rogers MP, Avni-Barron O, Braun I, Barsky AJ. Foreign-body ingestion in patients with personality disorders. Psychosomatics. 2007;48(2):162-6. https://doi.org/10.1176/appi.psy.48.2.162 PMid:17329611
Henriksson MM, Aro HM, Marttunen MJ, Haikkinen ME, Isometsä ET, Kuoppasalmi KL, et al. Mental disorders and comorbidity in suicide. Am J Psychiatry. 1993;150(6):935-40. https://doi.org/10.1176/ajp.150.6.935 PMid:8494072
Klein CA. Intentional Ingestion and Insertion of Foreign Objects: A Forensic Perspective. J Am Acad Psychiatry Law. 2012;40:119-26. PMid:22396349
Lewis C, Hsu HK, Hoover E. Aspiration of foreign bodies in adults with personality disorders: impact on diagnosis and recurrence. J Natl Med Assoc. 2011;103(7):620-2. https://doi.org/10.1016/S0027-9684(15)30390-4
Lonnqvist JK. Suicidio. En: Gelder MG, López-Ibor JJ, Andreasen N, editores. Tratado de Psiquiatría. Barcelona: Ars Médica; 2003. p. 1233-40.
Dadá, M. S. A. C., & Rodríguez-Baeza, A. (2018). Unusual case of intentional ingestion of foreign body in patient with parasuicidal behavior. Revista ORL, 9(1), 89–91. https://doi.org/10.14201/orl.17034
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