Emamhadi Mohammad Ali, Najari Fares, Hedayatshode Mohammad Javad, Sharif Shokoufeh
Department of Forensic Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Forensic Medicine Dissection Hall, Tehran, Iran.
Emerg (Tehran). 2018;6(1):e16. Epub 2018 Mar 5.
According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), pica is described as eating one or more non-nutritive, non-food substances over a period of at least 1 month that is severe enough to warrant clinical attention. The present case is a 44-year-old man who was brought to emergency department following severe abdominal pain, but died before admission or receiving any treatments. On the autopsy, 64 bolts and metal fittings (3700 grams) were found in the esophagus, stomach, small intestine, and large intestine of the patient.
根据《精神疾病诊断与统计手册》（第五版），异食癖被描述为在至少1个月的时间内食用一种或多种无营养、非食物的物质，严重程度足以引起临床关注。本病例是一名44岁男性，因严重腹痛被送往急诊科，但在入院或接受任何治疗前死亡。尸检时，在患者的食管、胃、小肠和大肠中发现了64个螺栓和金属配件（3700克）。
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