Rammohan Rajmohan, Joy Melvin, Natt Dilman, Saggar Tulika, Magam Sai Greeshma, Gomez Sandra, Sayedy Najia, Desai Jiten, Bunting Susan, Mustacchia Paul
Gastroenterology, Nassau University Medical Center, East Meadow, USA.
Internal Medicine, Nassau University Medical Center, East Meadow, USA.
Cureus. 2023 May 5;15(5):e38593. doi: 10.7759/cureus.38593. eCollection 2023 May.
Foreign body ingestion is a common medical emergency that can affect individuals of all ages and can be caused by various factors, including accidental ingestion, psychiatric disorders, intellectual disabilities, and substance abuse. The most common site for foreign body lodgment is the upper esophagus, followed by the middle esophagus, stomach, pharynx, lower esophagus, and duodenum. This article provides a case report of a 43-year-old male patient with a history of schizoaffective disorder and an indwelling suprapubic catheter who presented to the hospital due to foreign body ingestion. After examination, a metal clip from his Foley catheter was found lodged in his esophagus. The patient was intubated for the procedure, and an emergent endoscopic removal was performed to remove the metallic Foley component. No postoperative complications were observed, and the patient was successfully discharged. This case highlights the importance of considering foreign body ingestion in patients with chest pain, dysphagia, and vomiting. Prompt diagnosis and treatment are crucial to prevent potential complications such as perforation or gastrointestinal tract obstruction. The article also emphasizes the need for healthcare providers to know the different risk factors, variations, and common sites for foreign body lodgment to optimize patient care. Furthermore, the article highlights the importance of multidisciplinary care involving psychiatry and surgery to provide comprehensive care to patients with psychiatric disorders who may be at higher risk for foreign body ingestion. In conclusion, foreign body ingestion is a typical medical emergency that requires prompt diagnosis and treatment to prevent complications. This case report highlights the successful management of a patient with foreign body ingestion and emphasizes the importance of multidisciplinary care to optimize patient outcomes.
异物摄入是一种常见的医疗急症，可影响各年龄段的人群，其可由多种因素引起，包括意外摄入、精神疾病、智力障碍和药物滥用。异物滞留最常见的部位是食管上段，其次是食管中段、胃、咽、食管下段和十二指肠。本文报告一例43岁男性患者，有精神分裂症性障碍病史且留置耻骨上导尿管，因异物摄入入院。检查后发现其食管内滞留一枚来自Foley导尿管的金属夹。手术过程中患者进行了插管，并紧急进行了内镜取出术以取出Foley导尿管的金属部件。术后未观察到并发症，患者成功出院。该病例强调了对于胸痛、吞咽困难和呕吐患者考虑异物摄入的重要性。及时诊断和治疗对于预防诸如穿孔或胃肠道梗阻等潜在并发症至关重要。本文还强调医疗服务提供者需要了解异物滞留的不同危险因素、差异及常见部位，以优化患者护理。此外，本文突出了涉及精神科和外科的多学科护理对于为可能有较高异物摄入风险的精神疾病患者提供全面护理的重要性。总之，异物摄入是一种典型的医疗急症，需要及时诊断和治疗以预防并发症。本病例报告突出了对异物摄入患者的成功管理，并强调了多学科护理对于优化患者预后的重要性。
