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Chronic Pica Resulting in Perforative Peritonitis: A Case Report
Rohan P Doshi1, Harsh J Barot1, Nitin Borle2
1Surgery, Topiwala National Medical College and Bai Yamunabai Laxman Nair Charitable Hospital, Mumbai, IND.
Cureus
|June 18, 2026
Summary
Recurrent foreign body ingestion in patients with pica can cause severe gastrointestinal injury and death. Early psychiatric intervention and multidisciplinary care are crucial for preventing fatal outcomes in high-risk individuals.
Area of Science:
- Gastroenterology
- Surgery
- Psychiatry
Background:
- Foreign body (FB) ingestion is common, especially in children and those with intellectual disabilities.
- Recurrent ingestion associated with pica presents a high-risk subset, leading to cumulative gastrointestinal injury, operative complexity, and increased mortality.
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