Unusual case of intentional ingestion of foreign body in patient with mental retardation
Caso incomum de ingestão intencional de corpo estranho em paciente com transtorno mental
DOI:
https://doi.org/10.34119/bjhrv5n4-258Keywords:
foreign body, mental retardation, ENTAbstract
Introduction: In developing countries the problem of foreign bodies in Otorhinolaryngology Services (ENT) is poorly studied. The foreign body is common in children but may occur in adults with mental disorders or in prisoners. Objective: To describe the case of a patient with psychiatric problems who ingested a metallic object. Psychiatric observation was requested that diagnosed an "anxiety crisis" after family conflict. Results: Esophagoscopy was performed for uncomplicated extraction. Discussion: Voluntary (intentional) ingestion of objects occurs in patients with psychiatric disorders, especially schizophrenia, mental retardation or in the inmate population. However, the ingestion of a large foreign body is related to parasuicidal behaviour. Conclusions: Always suspect the presence of a foreign body in patients with psychiatric disorders with odynophagia in the absence of pharyngotonsillitis.
References
Vallejo GS, Iván E, Correa O, Madeleine A, López B, Cardona CA. Cuerpos extraños en tracto gastrointestinal asociados a trastorno mental . Reporte de caso Associated mental upheaval to ingestion of strange bodies . Case report. 2009;79–85.
Garg K, Mittal P, Chandrupatla M. BD Chaurasia. Human Anatomy. Regional an Applied. Disection and Clinical. Upper Limb. Thorax. Seventh. Vols 1 NV-4. India: CBS Publisher & Distribuitors Pvt Ltd; 2016.
Costa KC, Duarte BB, Vida MLB, Signorini MAT, Carlos F, Schaffer C, et al. Corpos Estranhos em Otorrinolaringologia: Aspectos Epidemiológicos de 346 Casos. Arq Int Otorrinolaringol. 2007;11(2):109–15.
Figueiredo R, Azevedo A, Ávila Kós A, Tomita S. Complicaçoẽs de corpos estranhos em otorrinolaringologia: um estudo retrospectivo. Rev Bras Otorrinolaringol. 2008;74(1):7–15.
Menchen P, Castellanos D, Senent C, Santos L, A DD. Cuerpos extraños en esófago. Terapéutica endoscópica. Ponencia Oficial. Urgencias en Otorrinolaringología. Acta Otorrinolaring Esp. 1991;42(número extraordinario):69–71.


