Cucu Andrei Ionut, Costea Claudia Florida, Silișteanu Sînziana Călina, Blaj Laurentiu Andrei, Istrate Ana Cristina, Patrascu Raluca Elena, Hartie Vlad Liviu, Patrascanu Emilia, Turliuc Mihaela Dana, Turliuc Serban, Sava Anca, Boişteanu Otilia
Faculty of Medicine and Biological Sciences, University Stefan cel Mare of Suceava, 720229 Suceava, Romania.
Emergency Clinical Hospital Prof. Dr. Nicolae Oblu, 700309 Iasi, Romania.
Diagnostics (Basel). 2024 Jul 18;14(14):1549. doi: 10.3390/diagnostics14141549.
Self-inflicted penetrating injuries in patients with mental disorders are a rare phenomenon. The authors report the case of a prisoner who recurrently presented to the emergency department over a period of four years for self-insertion of six metal foreign bodies into the skull. Computed tomography each time revealed the presence of a metal foreign body (screw, nail, metal rod, and wire) passing through the frontal bone into the frontal lobe. In each situation, the foreign body was safely extracted with a favorable outcome. Despite the use of the latest imaging modalities, metal artifacts can limit the assessment of vascular involvement, and special attention must be given to preoperative planning. Surgical extraction of the foreign body can be safely performed when appropriate preoperative planning is carried out to consider all possible complications.
精神障碍患者的自伤性穿透伤是一种罕见现象。作者报告了一例囚犯的病例，该囚犯在四年时间里反复前往急诊科，将六个金属异物自行插入颅骨。每次计算机断层扫描都显示有一个金属异物（螺钉、钉子、金属棒和金属丝）穿过额骨进入额叶。在每种情况下，异物均被安全取出，预后良好。尽管使用了最新的成像方式，但金属伪影可能会限制对血管受累情况的评估，术前规划必须给予特别关注。当进行适当的术前规划以考虑所有可能的并发症时，可以安全地进行异物的手术取出。
