Self harm through foreign bodies ingestion – rare cause of digestive perforation

Abstract Self-harm is a rare pathology, often seen in psychiatric patients but more frequently in the penitentiary environment. Of the many possible forms of self-harm, foreign bodies (FB) ingestion is by far the most usual in the Romanian prison environment. The paper aims to present the diagnostic and therapeutic aspects arising as a consequence of the digestive tract perforations consequent upon foreign bodies ingestion; a number of 45 cases which occurred over a 7-year period (2003-2010) in "Rahova" Penitentiary Hospital, were analyzed. We also examined the surgical particularities of case resolution. Abbreviations: FB = foreign bodies, EEA = end-to-end anastomosis

[1]  A. Tonkić,et al.  Successful Endoscopic Removal of a Swallowed Toothbrush: Case Report , 2011, Case Reports in Gastroenterology.

[2]  E. Islam,et al.  Endoscopic removal of multiple duodenum foreign bodies: An unusual occurrence. , 2010, World journal of gastrointestinal endoscopy.

[3]  A. Darzi,et al.  Surgical removal of a tea spoon from the ascending colon, ten years after ingestion: a case report , 2009, Cases journal.

[4]  P. Madhukumar,et al.  Successful management of an iatrogenically-ingested sharp foreign body. , 2008, Annals of the Academy of Medicine, Singapore.

[5]  J. Girones,et al.  Surgically treated perforations of the gastrointestinal tract caused by ingested foreign bodies , 2008, Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland.

[6]  E. Zacharakis,et al.  Surgical Intervention for Gastrointestinal Foreign Bodies in Adults: A Case Series , 2008, Medical Principles and Practice.

[7]  A. Ayantunde,et al.  A review of gastrointestinal foreign bodies , 2006, International journal of clinical practice.

[8]  D. Chan,et al.  Small-bowel perforation caused by fish bone. , 2005, World journal of gastroenterology.

[9]  Chintamani,et al.  Liver abscess secondary to a broken needle migration- A case report , 2003, BMC surgery.

[10]  C. Organ Principles and Practice of Surgery for the Colon, Rectum and Anus , 1999 .

[11]  J. Losanoff,et al.  Ingested Foreign Bodies of the Gastrointestinal Tract: Retrospective Analysis of 542 Cases , 1996, World Journal of Surgery.

[12]  W. Abdullah Annals of the Academy of Medicine, Singapore , 1988 .

[13]  V. Baskakov,et al.  [Intestinal perforation by foreign bodies]. , 1984, Klinicheskaia khirurgiia.