Lighter Ingestion as an Uncommon Cause of Severe Vomiting in a Schizophrenia Patient
Background. Foreign bodies in the gastrointestinal tract are important morbid and mortal clinical conditions. Particularly, emergency treatment is required for cutting and drilling bodies. The majority of ingested foreign bodies (80–90%) leave gastrointestinal tract without creating problems. In 10–...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2016/6301302 |
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| author | Yahya Atayan Yasir Furkan Cagin Mehmet Ali Erdogan Yılmaz Bilgic Remzi Bestas Murat Harputluoglu Yüksel Seckin |
| author_facet | Yahya Atayan Yasir Furkan Cagin Mehmet Ali Erdogan Yılmaz Bilgic Remzi Bestas Murat Harputluoglu Yüksel Seckin |
| author_sort | Yahya Atayan |
| collection | DOAJ |
| description | Background. Foreign bodies in the gastrointestinal tract are important morbid and mortal clinical conditions. Particularly, emergency treatment is required for cutting and drilling bodies. The majority of ingested foreign bodies (80–90%) leave gastrointestinal tract without creating problems. In 10–20% of cases, intervention is absolutely required. Less than 1% of cases need surgery. In this paper, we present a schizophrenia patient who swallowed multiple lighters. Case. A 21-year-old male schizophrenic patient who uses psychotic drugs presented to the emergency department with the complaints of abdominal pain, severe vomiting, and inability to swallow for a week. His physical examination revealed epigastric tenderness. A plain radiograph of the abdomen revealed multiple tiny metallic densities. Gastroscopy was performed. The lighters were not allowing the passage, and some of them had penetrated the gastric mucosa, and bezoars were observed. One lighter was extracted with the help of the polypectomy snare. Other lighters as a bezoar were removed by surgery. Conclusion. Excessive vomiting of swallowed foreign bodies in the etiology of psychotic patients should be kept in mind. Endoscopic therapy can be performed in the early stages in these patients, but in the late stage surgery is inevitable. |
| format | Article |
| id | doaj-art-7be6960010c34ceb957a2f8b0f3317e3 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-7be6960010c34ceb957a2f8b0f3317e32025-02-03T05:50:16ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362016-01-01201610.1155/2016/63013026301302Lighter Ingestion as an Uncommon Cause of Severe Vomiting in a Schizophrenia PatientYahya Atayan0Yasir Furkan Cagin1Mehmet Ali Erdogan2Yılmaz Bilgic3Remzi Bestas4Murat Harputluoglu5Yüksel Seckin6Department of Gastroenterology, Gümüşhane State Hospital, 29100 Gümüşhane, TurkeyDepartment of Gastroenterology, Medical Faculty, Inonu University, Malatya, TurkeyDepartment of Gastroenterology, Medical Faculty, Inonu University, Malatya, TurkeyDepartment of Gastroenterology, Medical Faculty, Inonu University, Malatya, TurkeyDepartment of Gastroenterology, Diyarbakir Education and Researches Hospital, Diyarbakir, TurkeyDepartment of Gastroenterology, Medical Faculty, Inonu University, Malatya, TurkeyDepartment of Gastroenterology, Medical Faculty, Inonu University, Malatya, TurkeyBackground. Foreign bodies in the gastrointestinal tract are important morbid and mortal clinical conditions. Particularly, emergency treatment is required for cutting and drilling bodies. The majority of ingested foreign bodies (80–90%) leave gastrointestinal tract without creating problems. In 10–20% of cases, intervention is absolutely required. Less than 1% of cases need surgery. In this paper, we present a schizophrenia patient who swallowed multiple lighters. Case. A 21-year-old male schizophrenic patient who uses psychotic drugs presented to the emergency department with the complaints of abdominal pain, severe vomiting, and inability to swallow for a week. His physical examination revealed epigastric tenderness. A plain radiograph of the abdomen revealed multiple tiny metallic densities. Gastroscopy was performed. The lighters were not allowing the passage, and some of them had penetrated the gastric mucosa, and bezoars were observed. One lighter was extracted with the help of the polypectomy snare. Other lighters as a bezoar were removed by surgery. Conclusion. Excessive vomiting of swallowed foreign bodies in the etiology of psychotic patients should be kept in mind. Endoscopic therapy can be performed in the early stages in these patients, but in the late stage surgery is inevitable.http://dx.doi.org/10.1155/2016/6301302 |
| spellingShingle | Yahya Atayan Yasir Furkan Cagin Mehmet Ali Erdogan Yılmaz Bilgic Remzi Bestas Murat Harputluoglu Yüksel Seckin Lighter Ingestion as an Uncommon Cause of Severe Vomiting in a Schizophrenia Patient Case Reports in Gastrointestinal Medicine |
| title | Lighter Ingestion as an Uncommon Cause of Severe Vomiting in a Schizophrenia Patient |
| title_full | Lighter Ingestion as an Uncommon Cause of Severe Vomiting in a Schizophrenia Patient |
| title_fullStr | Lighter Ingestion as an Uncommon Cause of Severe Vomiting in a Schizophrenia Patient |
| title_full_unstemmed | Lighter Ingestion as an Uncommon Cause of Severe Vomiting in a Schizophrenia Patient |
| title_short | Lighter Ingestion as an Uncommon Cause of Severe Vomiting in a Schizophrenia Patient |
| title_sort | lighter ingestion as an uncommon cause of severe vomiting in a schizophrenia patient |
| url | http://dx.doi.org/10.1155/2016/6301302 |
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