The Spectrum of Dissociative Disorders are based on criteria that define the dissociative experience of depersonalization along the spatial dimension with patients having dissociative episodes typically describe the experience of being spatially removed from the first person experience. We present the unique case of a patient with Other Specified Dissociative Disorder who exhibits depersonalization in relation to the dimension of time, with no clear spatial depersonalization. We discuss our findings in light of research on disturbances in temporal perception in patients and the implication for future criteria for Dissociative Disorders
Gastrocutaneous fistula (GCF) is an abnormal connection in the skin layer and gastrointestinal lining. A GCF is a highly rare complication accounting for only 0.5%-3.9% cases having undergone gastric surgery [1]. These fistulas mostly occur after breakdown of a gastroenteric anastomosis, disruption of the gastric suture lines (commonly after bariatric surgery conventional surgery), iatrogenic gastric injury (particularly after splenectomy), or failure in healing of a gastrostomy tube tract [2].
An 88-year-old female presented with non-healing wound of left hip, found to have iatrogenic foreign body. The patient presented at the age of 88 with complaints of a persistent wound of left hip. She had a previous incision and drainage of an abscess on her left hip and subsequently received negative pressure therapy. She underwent a wound exploration and found to have multiple foreign bodies in the wound. While uncommon, iatrogenic foreign body should be considered as a possible differential diagnosis in patient with non-healing wounds. The literature on iatrogenic foreign body is reviewed. Iatrogenic foreign body is an uncommon pathology but should be included in the differential diagnosis in patients presenting with a non-healing wound.
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