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Nail mine in stomach.

Saqib Uddin Khan¹, Kunwar Muhammad Aqeel, Nosheen Anwar

¹Department of Surgery, Abbasi Shaheed Hospital, Karachi. m_saqkhan@yahoo.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|April 2, 2011

Summary

This summary is machine-generated.

A psychiatric patient ingested 2562 nails, causing gastric outlet obstruction. Surgical removal via gastrotomy was successful, followed by psychiatric treatment for this rare foreign body ingestion case.

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Area of Science:

Gastroenterology
Psychiatry
Surgical Case Reports

Background:

Foreign body ingestion is a frequent emergency department presentation.
Ingestion of a massive number of foreign bodies is exceptionally rare.
Psychiatric disorders can contribute to unusual ingestion behaviors.

Observation:

A young adult male with a diagnosed psychiatric disorder presented with severe symptoms.
Radiographic imaging revealed an unprecedented 2562 nails within the stomach.
The nails caused significant gastric outlet obstruction.

Findings:

Surgical intervention via gastrotomy successfully removed the large foreign body load.
The patient's gastric outlet obstruction was relieved post-operatively.
The case highlights a severe manifestation of pica secondary to psychiatric illness.

Implications:

This case underscores the importance of considering psychiatric comorbidities in patients with foreign body ingestion.
Massive foreign body ingestion requires prompt surgical management.
Comprehensive psychiatric care is crucial for managing underlying behavioral disorders contributing to such events.