A case of swallowed surprising foreign bodies in a young psychotic man

Here we present a case of a young psychotic man who presented with chronic abdominal pain without clear history of foreign body (FB) ingestion. On examination patient was euphoric in mood, mildly anaemic & dehydrated from repeated vomiting. Abdomen was tender and rigid in epigastrium with no visible or palpable swelling. Routine hematology and biochemistry being normal, visible & echognic FBs were found on plain x-ray abdomen (AP & Lateral views) & USG abdomen. The case was revealed by plain x-ray and ultrasonography of abdomen. Since the foreign bodies swallowed were elongated, sharp edged or pointed and potentially injurious, no attempt was made to get them out by upper GI endoscopy. Their nature was revealed at formal laparotomy and gastrotomy. The patient recovered uneventfully. He was sent for psychiatric follow up.