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Suicidal mercury injection into the upper limb: a case study.

F Wong1, L K Hung, C H Wong

  • 1Department of Orthopaedics and Traumatology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, China.

Hand Surgery : an International Journal Devoted to Hand and Upper Limb Surgery and Related Research : Journal of the Asia-Pacific Federation of Societies for Surgery of the Hand
|April 6, 2005
PubMed
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A rare case of self-injected mercury into the arm required a multidisciplinary approach for surgical removal and chelation therapy. Monitoring mercury levels and environmental safety was crucial for patient and staff well-being.

Area of Science:

  • Toxicology
  • Surgical Management
  • Radiology

Background:

  • Self-injection of mercury is a rare and potentially dangerous event.
  • Prompt and comprehensive management is essential to prevent severe mercury toxicity.

Observation:

  • A patient presented with subcutaneous mercury self-injection in the upper limb.
  • A multidisciplinary team managed the case, involving toxicologists, orthopedic surgeons, radiologists, and environmental safety personnel.

Findings:

  • Surgical removal of mercury was performed under radiological guidance.
  • Chelating agents, dimercaprol and succimer, were used to treat systemic mercury intoxication.
  • Despite surgical intervention, serum and urine mercury levels initially rose before gradually returning to normal.

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  • Strict safety protocols and environmental monitoring were implemented to prevent staff intoxication and theatre contamination.

    • Implications:

    • This case highlights the importance of a coordinated, multidisciplinary approach in managing rare toxicological emergencies.
    • Effective surgical and medical interventions can mitigate the effects of mercury self-injection.
    • Environmental safety measures are critical during the management of such cases to protect healthcare professionals.