Liver Abscess Caused by Ingestion of a Sewing Needle

Basquez, Ryan L; Butt, Ifrah; Billings, Ashley; Pippin, Micah

doi:10.7759/cureus.8924

Cited by 4 publications

(4 citation statements)

References 9 publications

(18 reference statements)

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“…Prazosin is an alpha-1-adrenergic receptor blocker typically used in the treatment of hypertension and benign prostatic hypertrophy [28]. Prazosin is commonly used in the treatment of nightmares and sleep improvement in PTSD, with its well-documented efficacy, which is linked to its ability to cross the blood-brain barrier [8,[29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Twice Daily Prazosin and Valproic Acid in the Treatment of Flashbacks in PTSD

Fisher

Kiziah

Alvarez

2022

Case Reports in Psychiatry

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Posttraumatic stress disorder (PTSD) is a debilitating stress disorder occurring in the context of a traumatic event and is characterized by intrusive and avoidance symptoms, negative alterations in cognition and mood, and arousal and reactivity changes. Despite its representation throughout literature, the pathophysiology of PTSD remains incompletely understood, thus contributing to broad, variable, and at times, experimental treatment options. The authors present the first documented case of the rapid and successful management of PTSD using valproic acid and twice daily dosing of prazosin aimed at targeting symptoms of hyperarousal and both daily and nightly intrusive symptoms of flashbacks and nightmares, respectively. The authors also discuss postulations of the underlying mechanisms of action responsible for such symptom alleviation. Further investigation is needed to expand upon our knowledge of the use of such agents in the treatment of PTSD to improve upon existing clinical guidelines, especially in the acute setting, thus providing better overall prognosis.

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Section: Discussionmentioning

confidence: 99%

Twice Daily Prazosin and Valproic Acid in the Treatment of Flashbacks in PTSD

Fisher

Kiziah

Alvarez

2022

Case Reports in Psychiatry

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“…e sewing needle might be accidentally swallowed by adults who have the habit of holding the needle in their mouth. e Psychiatric population is also vulnerable because of their habit of accidental ingestion of objects [13,14]. Contrary to metallic objects, vegetative FBs are not visible in plain X-rays of the abdomen, leading to delayed diagnosis [15].…”

Section: Case Reportmentioning

confidence: 99%

Intrahepatic Sewing Needle in a Child: A Case Report

Singh

2024

J Surg Interv Radiol

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Sewing needles in the body of children has been reported in various body parts such as the liver, pancreas, brain, legs, muscles, mesentery of the bowel, etc. The sewing needle in the body of a child usually raises the suspicion of child abuse and in adult's suspicion of drug abuse. Rarely iatrogenic migrated retained foreign bodies (intravenous cannula) in the liver were also reported. The non-vegetative foreign body in the liver usually reaches by the bloodstream and the vegetative foreign body usually reaches via the entric route. There were controversies for expectant and operative management for asymptomatic foreign bodies in the liver. A case of transcutaneous penetration of a sewing needle into the liver of a child during playing was discussed. The sewing needle was successfully retrieved by laparotomy. If left untreated retained foreign body in the liver can invite complications of liver abscess, hematoma, external or internal biliary stula, hemobilia, or migration of needle into the bloodstream.

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“…Common adverse effects (5% to 10% of patients): dizziness, headache, drowsiness, lack of energy, weakness, palpitations 87 …”

Section: Treatment Options For Mental Health Symptoms In Persons With...mentioning

confidence: 99%