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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Main Authors: Oscar Kivike, Israel Soko, David Mgaya, Frank Sandi
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2018/2469462
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author Oscar Kivike
Israel Soko
David Mgaya
Frank Sandi
author_facet Oscar Kivike
Israel Soko
David Mgaya
Frank Sandi
author_sort Oscar Kivike
collection DOAJ
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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series Case Reports in Surgery
spelling doaj-art-7eff07f070f743cdaceb6bd4cfbd75f12025-02-03T05:57:35ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/24694622469462Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric PatientOscar Kivike0Israel Soko1David Mgaya2Frank Sandi3Department of Surgery, College of Health Sciences, The University of Dodoma, TanzaniaThe University of Dodoma, TanzaniaMuhimbili University College of Health, TanzaniaDepartment of Surgery, College of Health Sciences, The University of Dodoma, TanzaniaPica 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.http://dx.doi.org/10.1155/2018/2469462
spellingShingle Oscar Kivike
Israel Soko
David Mgaya
Frank Sandi
Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient
Case Reports in Surgery
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
url http://dx.doi.org/10.1155/2018/2469462
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AT davidmgaya intestinalobstructionfollowingingestionofmetallicinstrumentsinapsychiatricpatient
AT franksandi intestinalobstructionfollowingingestionofmetallicinstrumentsinapsychiatricpatient