Aspiration of Foreign Bodies in Adults With Personality Disorders: Impact on Diagnosis and Recurrence

Lewis, Catherine; Hsu, Hwei-Kang; Hoover, Eddie L.

doi:10.1016/s0027-9684(15)30390-4

Cited by 11 publications

(8 citation statements)

References 2 publications

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“…Patients with personality disorders may present to the surgical department following intentional foreign body ingestion, which may be recurrent despite psychiatric treatment 9. The repetitive nature of this behaviour often leads to multiple interventions, with a significant risk of serious injury, and a substantial financial implication on resources 10 11.…”

Section: Discussionmentioning

confidence: 99%

Liver perforation following foreign body ingestion: an important clinical lesson

et al. 2015

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A 25-year-old woman presented to the surgical unit with a 1-week history of ingestion of a pen. Examination revealed a minimally tender epigastrium with no peritonism. Investigations were unremarkable, with normal bloods and no free air on erect chest radiograph. At the time of endoscopy, the pen appeared to have perforated the lesser curve of the stomach. Endoscopic extraction was abandoned and a CT arranged, revealing the tip of the pen lying within the left lobe of the liver. The pen was removed at laparotomy with an uneventful recovery. This case highlights the importance of considering the potential for injury to other structures following gastric perforation, and the importance of having a low threshold for further imaging.

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Section: Discussionmentioning

confidence: 99%

Liver perforation following foreign body ingestion: an important clinical lesson

et al. 2015

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“…1,5 Ingested coins also have been described in literature. 2 A foreign body should be removed once diagnosed irrespective of time of aspiration. The longer the foreign body stays, the worse the morbidity associated with it.…”

Section: Discussionmentioning

confidence: 99%

“…The longer the foreign body stays, the worse the morbidity associated with it. 2 The majority of aspirated objects usually are dislodged in the carina and right main stem bronchus. 1,5 If the object was present for a long period, it can migrate and cause endobronchial erosion.…”

Section: Discussionmentioning

confidence: 99%

“…6 A high index of suspicion for foreign body aspirations is needed in psychiatric patients with respiratory symptoms, even those on optimal psychiatric treatment. 2 If the patient presents late, the only clue for the diagnosis would be past history.…”

Section: Discussionmentioning

confidence: 99%

“…1 Children usually aspirate foreign objects accidentally, whereas adults usually suffer from a neurological impairment, the influence of alcohol, or an underlying psychological disorder. 2 Presentation ranges from benign to more serious, which requires emergent intervention for removal. 3…”

Section: Introductionmentioning

confidence: 99%

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