Nastoulis Evangelos, Karakasi Maria-Valeria, Alexandri Maria, Thomaidis Vasileios, Fiska Aliki, Pavlidis Pavlos
Laboratory of Forensic Sciences, Democritus University of Thrace, School of Medicine, GR 68100 Dragana, Alexandroupolis, Greece.
Third University Department of Psychiatry, AHEPA University General Hospital - Department of Mental Health, Aristotle University - Faculty of Medicine, GR 54124 Thessaloniki, Greece.
Acta Medica (Hradec Kralove). 2019;62(3):85-93. doi: 10.14712/18059694.2019.130.
The aim of this paper is to update and summarize the relevant literature on the anatomical localization, incidence, and diagnostic and therapeutic approaches to abdominal foreign bodies. A comprehensive review was carried out on recorded cases related to the presence of foreign bodies in the abdominal area throughout the literature. Moreover, the phenomenon was discussed in relation to different patient categories associated with childhood, mental or neurological illness, incarceration, and drug trafficking as well as sexual accident or abuse. Particular importance is ascribed to the underlying psychopathology and motivation of foreign body ingestion in each category of patients. The surgical, psychiatric and legal implications of the issue are discussed in detail.
本文旨在更新并总结有关腹部异物的解剖定位、发病率以及诊断和治疗方法的相关文献。对文献中记录的与腹部区域存在异物相关的病例进行了全面综述。此外,还针对与儿童期、精神或神经疾病、监禁、贩毒以及性事故或虐待相关的不同患者类别对这一现象进行了讨论。特别强调了每类患者中异物摄入的潜在精神病理学和动机。详细讨论了该问题在外科、精神科和法律方面的影响。