Chahine Elias, El Khoury Lionel, Baghdady Ramez, Chouillard Elie
Digestive and Minimally Invasive Surgery, Centre Hospitalier Intercommunal de Poissy/Saint-Germain-en-Laye, Poissy, France.
BMJ Case Rep. 2017 Sep 27;2017:bcr-2017-221928. doi: 10.1136/bcr-2017-221928.
A 52-year-old male patient with psychiatric medical history who presented to the emergency department five times during a period of 5 years due to gastric outlet obstruction manifested mainly by abdominal pain, vomiting and haematemesis after intentionally ingesting metals and which necessitate several surgical interventions. Lately, he presented with generalised peritonitis due to gastric perforation from metal bezoars. Chronic abdominal symptoms in patient having a psychiatric disorder can be due to foreign body ingestion. Treatment is often surgical and the whole digestive tract should be explored to avoid retained bezoars.
一名52岁男性患者,有精神病史,在5年期间因故意摄入金属后主要表现为腹痛、呕吐和呕血导致胃出口梗阻,5次就诊于急诊科,需要多次手术干预。最近,他因金属粪石导致胃穿孔出现弥漫性腹膜炎。患有精神疾病的患者出现慢性腹部症状可能是由于异物摄入。治疗通常是手术治疗,应探查整个消化道以避免粪石残留。