Ingestion of razor blades, a rare event: a case report in a psychiatric patient

Author:

Delgado Salazar Jhony Alejandro1,Naveda Pacheco Natalia Carolina2,Palacios Jaramillo Paola Alexandra3,Garzón Yépez Santiago Danilo4,Medina Loza Victor Rafael1,Romero Alvarado Carlos Alberto1,Aguilar Ayala Bernabé Esteban4,Molina Gabriel Alejandro5ORCID

Affiliation:

1. PGY4 Surgery Resident at PUCE, Quito, Ecuador

2. PGY2 Surgical Resident at PUCE, Quito, Ecuador

3. General Practitioner at Macas General Hospital, Macas, Ecuador

4. Attending at Hospital Enrique Garces, Department of General Surgery, Quito, Ecuador

5. Attending at Hospital Iess Quito Sur, Department of General Surgery, Quito, Ecuador

Abstract

Abstract Foreign body ingestion is a common condition in clinical practice, thankfully most of the cases do not require any surgery as most foreign bodies can pass through the bowel without injuring it. Treatment depends on the size and kind of foreign bodies. When complications arise, patients may require urgent medical attention. Self-harm by sharp foreign body ingestion is a rare event that must always be promptly treated and should always be prevented. Psychiatric patients and inmates are the most affected population. A high index of suspicion is required to treat this rare condition, which may be preventable if there is adequate mental and medical therapy along with close monitoring and family support. We present the case of a 31-year-old psychiatric patient. After prompt treatment, two razor blades were surgically removed from her intestines. She fully recovered and is doing well on follow-up controls.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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