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一名精神病患者摄入金属器械后发生肠梗阻

Intestinal Obstruction following Ingestion of Metallic Instruments in a Psychiatric Patient.

作者信息

Kivike Oscar, Soko Israel, Mgaya David, Sandi Frank

机构信息

Department of Surgery, College of Health Sciences, The University of Dodoma, Tanzania.

The University of Dodoma, Tanzania.

出版信息

Case Rep Surg. 2018 Oct 17;2018:2469462. doi: 10.1155/2018/2469462. eCollection 2018.

DOI:10.1155/2018/2469462
PMID:30416838
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6207854/
Abstract

Pica among psychiatric patients has been well documented. We report a 25-year-old female patient who presented with abdominal distension for one week. She is a known psychiatric patient for 5 years. Through history taking, physical examination, and investigations, the patient was found to have psychotic features and features of intestinal obstruction. Surgery was done by opening the abdomen and then the stomach. The stomach, together with the proximal intestine, was found to be filled with metallic instruments weighing 780 mg. The diagnosis of a metalophagia type of pica was reached. All instruments were removed and the patient did well postoperatively.

摘要

精神病患者中的异食癖现象已有充分记录。我们报告一名25岁女性患者，她出现腹胀一周。她是一名已知患精神病5年的患者。通过病史采集、体格检查和各项检查，发现该患者有精神病特征及肠梗阻表现。通过剖腹然后打开胃部进行了手术。发现胃和近端肠道内充满了重达780毫克的金属器械。确诊为异食癖中的食金属症类型。所有器械均被取出，患者术后恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2720/6207854/59ed8b90375e/CRIS2018-2469462.008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2720/6207854/42aa95802090/CRIS2018-2469462.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2720/6207854/a5a3c88eb8d2/CRIS2018-2469462.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2720/6207854/830373336264/CRIS2018-2469462.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2720/6207854/59ed8b90375e/CRIS2018-2469462.008.jpg

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本文引用的文献

1
Pica as a manifestation of iron deficiency.异食癖作为缺铁的一种表现。
Expert Rev Hematol. 2016 Nov;9(11):1075-1080. doi: 10.1080/17474086.2016.1245136. Epub 2016 Oct 19.
2
Pica - a case of acuphagia or hyalophagia?异食癖——一例食针癖或食玻璃癖？
Indian J Surg. 2008 Jun;70(3):144-6. doi: 10.1007/s12262-008-0040-x. Epub 2008 Jul 24.
3
Characteristics of pica practice during pregnancy in a sample of Argentine women.阿根廷女性样本孕期异食癖行为的特征
J Obstet Gynaecol. 2012 Feb;32(2):150-3. doi: 10.3109/01443615.2011.638093.