Rectal Foreign Body Deodorant Bottle in a Schizophrenic Patient

Gündüz, Yasemin

doi:10.4172/2165-7920.1000409

Cited by 3 publications

(6 citation statements)

References 9 publications

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“…This behavior may be because of delusional beliefs or a response to command hallucinations, as well as to commit suicide, especially in schizophrenia. The group of patients with foreign body insertion includes children 75-80%, 4 psychiatric patients especially with suicidal tendencies 22.9%, 5 substance abusers, prisoners, and most of the foreign bodies that are nonfood related. 4 Our patient had history of insertion of a metal jar in the rectum secondary to his psychotic symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…The group of patients with foreign body insertion includes children 75-80%, 4 psychiatric patients especially with suicidal tendencies 22.9%, 5 substance abusers, prisoners, and most of the foreign bodies that are nonfood related. 4 Our patient had history of insertion of a metal jar in the rectum secondary to his psychotic symptoms. Till now, no such similar cases have been reported to the best of our knowledge.…”

Section: Discussionmentioning

confidence: 99%

“…3 Various objects that have been inserted into the rectum include bottle, bones, seeds, carrots, vessel jar, lemon, and thermometer. 2 Insertion of foreign bodies in psychiatric patients reported in the literature 4 is associated with psychiatric disorders such as schizophrenia, either due to delusional beliefs or in response to command hallucinations. 2,4 Foreign object insertion in psychotic patients is highly repetitive behavior.…”

Section: Introductionmentioning

confidence: 99%

“…2 Insertion of foreign bodies in psychiatric patients reported in the literature 4 is associated with psychiatric disorders such as schizophrenia, either due to delusional beliefs or in response to command hallucinations. 2,4 Foreign object insertion in psychotic patients is highly repetitive behavior. 2 In addition, it is likely that any radiologist and surgeons will encounter this type of case, and thus should be familiar with both diagnostic and management options.…”

Section: Introductionmentioning

confidence: 99%

“…2 In addition, it is likely that any radiologist and surgeons will encounter this type of case, and thus should be familiar with both diagnostic and management options. 4 In this report, we are presenting a 35-year-old male with a history of a metal jar being placed in the rectum.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Polyembolokoilamania: A Rare Case Report

Vardhan¹,

Mullapudi²,

Rajashekar³

et al. 2019

The Journal of Medical Sciences

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The introduction of foreign bodies into the rectum dates back to 16th century. When featured in literature, it has been typically discussed in medical subdisciplines, such as surgery, gastroenterology, emergency medicine and urology. However, in-depth exploration of this multidimensional phenomenon in the field of psychiatry has thus far been limited. Polyembolokoilamania inserting foreign bodies into orifices is a rare disorder and rectal insertions happen mostly due to erotic activity. Insertion of foreign bodies in psychiatric patients is associated with psychiatric disorders like schizophrenia, either due to delusional beliefs or in response to command hallucinations. In this case report, we are reporting a 35-year-old male patient who had inserted a metal tumbler into anal orifice and claimed that spirits had inserted the object into anal orifice against his will, later the patient was diagnosed as having paranoid schizophrenia and was treated. It is likely that any radiologist and surgeons will encounter this type of case, and thus should be familiar with both diagnostic and management options and refer for psychiatric help to avoid recurrences.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Polyembolokoilamania: A Rare Case Report

Vardhan¹,

Mullapudi²,

Rajashekar³

et al. 2019

The Journal of Medical Sciences

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Intentional impaction of rectum by mattress sponge pieces (foreign bodies) leading to intestinal obstruction in a mentally ill patient: Case report and literature review

Alharbi

2016

International Journal of Surgery Open

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Background: It is more difficult for the treating team to make the right diagnosis at the right time in mentally ill patients due to poor history and sometimes a masked clinical presentation. The presence of an unprofessional guardian may increase the challenges, as in our case, due to hidden or even misleading history, especially with an older age group. Intentionally inserted sponge material in the rectum to reduce the frequency of loose stool evacuations in patients with diarrhoea is a new phenomenon not discussed in medical literature. Case summary: We report a case of an 85-year-old bedridden female with a history of stroke, hemiplegia, and dysarthria. She presented to our emergency department with significant abdominal distention and vomiting. She was attended by an unprofessional guardian (hired by her family). The history provided by the guardian was of abdominal distention and constipation 5 days prior to presentation, followed by vomiting feculent material. A physical examination revealed she had a distended tympanic abdomen without organomegaly, scars, or hernia. A digital rectal exam revealed a few pieces of a foreign body similar to sponge material with a fully distended rectum with well-formed stool. The guardian admitted that this was a sponge material used by her to reduce the frequency of stool evacuation. Removal of the foreign body by the medical team led to complete recovery in the same day. Conclusion: The treating team may face more challenges in treating patients with an inability to provide a proper history, especially if accompanied by an unprofessional guardian. Highlights

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Deodorant aerosol spray can in the rectum: a potential fire hazard during surgery

et al. 2021

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Rectal foreign bodies are not uncommon and often pose a serious challenge to surgeons. In majority, the objects are inserted by self in children, psychiatric patients and for sexual gratification in adults. Various rectal foreign bodies have been reported. Deodorant aerosol spray can in the rectum has not been reported previously. Danger of aerosol dispenser can is the risk of fire and explosion. Especially during any surgical procedures to remove the foreign body using cautery or any energy devices. We report of a rare foreign body of deodorant aerosol spray can in the rectum in a young male patient, which was removed under general anaesthesia.

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Rectal Foreign Body Deodorant Bottle in a Schizophrenic Patient

Cited by 3 publications

References 9 publications

Polyembolokoilamania: A Rare Case Report

Polyembolokoilamania: A Rare Case Report

Intentional impaction of rectum by mattress sponge pieces (foreign bodies) leading to intestinal obstruction in a mentally ill patient: Case report and literature review

Deodorant aerosol spray can in the rectum: a potential fire hazard during surgery

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