A bizarre case report of self-harm by ingested lock trapped in oropharynx

Abstract

Most of the time victims of foreign body ingestion are toothless adults, prisoners and psychiatric patients. Commonly ingested objects are toothbrushes, 1 table spoons, 2 coin, 3 bone piece, fish, nails, button, glass pieces, dentures, ear ring, chain, pins, needles and razor blades. 4-7 In another significant study it has been reported that most ingested foreign bodies don"t get impacted in oropharynx except fish, chicken bones or any other sharp or irregular object. 7 These patients with foreign body in oropharynx generally present in emergency department with complain of sudden onset of dysphasia and pain in throat associated with minor laceration and abrasion in the oral cavity. On many occasions ingestion of foreign bodies have been reported in various scientific publications and their variety never ceases to titillate. Present case report is very interesting and has not been reported elsewhere and is novel in character. CASE REPORT A woman of around 25 years of age, married, multipara, was brought to the emergency section of JNMC and hospital, AMU, Aligarh, in the month of August 2014. She was acutely dysphasic and dyspneic. She was unable to swallow saliva and sips of water. She was partly stupurous, restless and was unable to talk. She was avoiding direct eye communication. She was accompanied by her parents and few relatives. No member of her in laws accompanied her. Initially, her parents were evasive and avoided direct questioning. They gave controlled answers in monosyllables. However, upon persistent questioning,