Unusual foreign body insertion in rectum and vagina in schizophrenic patient

Authors

  • Raheel Mushtaq Department of Psychiatry, Government Medical College, Srinagar, J & K
  • Sheikh Shoib Department of Psychiatry, Government Medical College, Srinagar, J & K
  • Mudasir Hamid Bhat Department of Radiology, Government Medical College, Srinagar, J & K
  • Tabindah Shah MBBS, Government Medical College, Srinagar, J & K
  • Sahil Mushtaq MBBS, ASCOMS, Jammu
  • Tajamul Hussain Department of Psychiatry, Government Medical College, Srinagar, J & K
  • Raheeb Shah Department of Surgery, Government Medical College, Srinagar, J & K

Keywords:

Command hallucination, Foreign body, Schizophrenia

Abstract

Insertion of foreign body in to the body is rare in medical literature. Here we report a case of 21 year old female who presented to emergency with acute abdomen and on detailed evaluation turned out to be schizophrenia. Our patient had history of insertion of ball pen in rectum following command hallucination. The foreign body was later removed through laparotomy. The cause of insertion of foreign body are multiple from command hallucination, suicidal attempt, erotism to somatic delusions. Thus the clinician should always be vigilant while dealing with psychiatric patients as sometimes impacted foreign body can present as acute emergency.

References

Faruk Karateka, Koray Das, Seta Ozyazici, Ebla Menekse, Zikeet Koseoglir, Ozgrir Karciogle. Anorectic injury due foreign body: Case report and review of management op: case report in surgery. 2013;20:4.

James E. Barone, Norman Sohn, Thomas F Nealson; Perforations and foreign bodies in rectum. Report of 28 cases; Ann Surg Nov 1996;184(5):601-4.

Bush DB, Starley JRL. Rectal foreign bodies, case report and review of literature. sur 1986;100(3):512-9.

David F. Gitlin, Jason P. Caplan, Malcolm P. Rogers, Orit Avni-Barron, Ilana Braun, Arthur J. Barsky. Foreign body ingestion in patient with personality disorder; Psychosomatics. 2007 March-April;48:2.

Ali Costun, Nazif Erkan, Savas Yakan, Mehmet Yilirim and Fevzi Cengiz. Management of rectal foreign bodies. World J of Emergency Surgery. 2013;8:11.

Abraham B, Alao AO. An unusual foreign ingestion in a schizophrenic patient: case report. Int J Psychiatry Med 2005;35(3):313-8.

Seungnam Son, Dong-Ho Kang, Byung-Hyo Kim, Nack-Cheon Choi, incidentally discovered a self-inflicted nail in the brain of schizophrenic patient. Psychiatric Investing 2011;8:272-4.

Brandon T. Unruh, Shamin H. Nejad, Theodore A. Stern Insertion of foreign bodies (polyembolokoilamania): underpinnings and Management Strategies. Prim care companion CNS Disord. 2012;14(1):PCC.11f01192.

Sanjay Arora, Sandeep Kumar Goyal. Unusual foreign body in ear in an adult patient with psychiatric illness. Ind J of Psychiatry: 2009;51(2):164.

Kamal Kishore, Sandeep Sahu, Anurag Aggarwal. Management of unusual case of self-inflicted penetrating cranio cerebral injury by a nail. Journal of Emergencies, Trauma and Shock. 2010 Apr-Jun;3(2):193-6.

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Published

2017-01-20

How to Cite

Mushtaq, R., Shoib, S., Bhat, M. H., Shah, T., Mushtaq, S., Hussain, T., & Shah, R. (2017). Unusual foreign body insertion in rectum and vagina in schizophrenic patient. International Journal of Research in Medical Sciences, 2(1), 367–369. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/2153