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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Med+Case+Rep
2016 ; 10
(1
): 257
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Foreign bodies in the sigmoid colon of a psychiatric patient following
self-mutilation: a case report
#MMPMID27639977
Gebresellassie HW
J Med Case Rep
2016[Sep]; 10
(1
): 257
PMID27639977
show ga
BACKGROUND: The act of deliberate injury to one's own body without the help of
others is a well-known phenomenon in psychiatric patients. Insertion of foreign
bodies into one or more orifices is not uncommon but insertion into a body cavity
or the gastrointestinal tract by self-inflicted injury is quite rare. CASE
PRESENTATION: A 32-year-old Ethiopian psychiatric patient presented with left
lower abdominal pain of three months' duration following the insertion of foreign
bodies via a self-inflicted wound in the left lower quadrant of his abdomen.
Radiological evaluation demonstrated the presence of foreign bodies. A laparotomy
revealed two metallic and three wooden materials in his sigmoid colon and a hole
in his sigmoid that was tightly sealed with omentum. The foreign bodies were
successfully removed, the hole was closed primarily, and our patient was
discharged uneventfully. CONCLUSIONS: This case illustrates that a foreign body
can be inserted into the colon through a self-inflicted wound in psychiatric
patients, and patients may present months later without having developed
generalized peritonitis.