Rodríguez Hermosa J I, Roig García J, Ruiz Feliú B, Gironès Vilà J, Codina Cazador A, Pont Vallès J, Figa Francesch M, González Huix F, Acero Fernández D
Unidad Médico-Quirúrgica Digestiva, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Dr. Josep Trueta, Girona, Spain.
Gastroenterol Hepatol. 2004 Nov;27(9):529-34. doi: 10.1016/s0210-5705(03)70521-4.
Accidental ingestion of foreign bodies is fairly common in the general population. However, recurrent, deliberate ingestion of foreign bodies associated with continual abdominal self-mutilation with blunt objects is extremely unusual. We present the case of a young woman with an underlying psychiatric disorder who repeatedly presented to the emergency department of our hospital for attempted suicide. The most frequent reason for presenting to the emergency department was ingestion of multiple objects, usually sharp metal objects, frequently associated with abdominal self-mutilation using a sharp instrument. Treatment consisted of extraction of the foreign bodies through upper gastrointestinal endoscopy or abdominal surgery. The patient has survived all these attempts with minimal morbidity.
意外吞食异物在普通人群中相当常见。然而，反复、故意吞食异物并伴有持续用钝器进行腹部自残的情况极为罕见。我们报告一例患有潜在精神疾病的年轻女性病例，她多次因企图自杀而到我院急诊科就诊。到急诊科就诊的最常见原因是吞食多个物体，通常是尖锐的金属物体，且经常伴有使用锐器进行腹部自残。治疗方法包括通过上消化道内镜检查或腹部手术取出异物。该患者在所有这些自杀企图中均存活下来，且并发症极少。
