Medicina Fluminensis, Vol. 61 No. 2, 2025.
Studija slučaja
https://doi.org/10.21860/medflum2025_330058
In the Digestive Danger Zone: Emergency Management of Swallowed Nail Clipper – A Case Report
Tesa Tušek
orcid.org/0009-0007-8664-2256
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
*
Ivona Šišul
orcid.org/0009-0001-7292-9359
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska
Domagoj Mičetić
; Klinički bolnički centar Rijeka, Zavod za gastroenterologiju, Rijeka, Hrvatska
Goran Poropat
orcid.org/0000-0002-2007-9452
; Sveučilište u Rijeci, Medicinski fakultet, Rijeka, Hrvatska; Klinički bolnički centar Rijeka, Zavod za gastroenterologiju, Rijeka, Hrvatska
* Dopisni autor.
Sažetak
Aim: Ingestion of foreign bodies in the adult population is either intentional or unintentional. Complications in the form of impaction, perforation, hemorrhage and obstruction may occur and immediate investigation is required. The aim of this case report is to present an unusual cause of foreign body ingestion that required urgent treatment. Case Report: A 47-year-old male patient was admitted to the emergency room because of swallowing a foreign body. This was a case of an inmate who had attempted suicide the day before by inflicting wounds to his neck with a razor blade. Suicide attempts were also the reason for the ingestion. On admission, his vital signs were within reference values and the physical examination showed no abnormalities. Complete blood count, metabolic panel and coagulation tests were obtained. Abdominal x-ray showed a metallic foreign body in the projection of the third and fourth lumbar vertebrae with no signs of mechanical obstruction or perforation. The patient was referred to a gastroenterologist. As the patient had swallowed a sharp object, an urgent upper endoscopy was performed, and the foreign body was extracted. After a psychiatric evaluation, the patient was discharged for treatment at the Hospital for Persons Deprived of Liberty due to a suicide attempt. Conclusion: To summarize, this case report represents a rare finding of a metal foreign body under special circumstances. It highlights the important role of emergency endoscopic treatment and emphasizes the life-saving importance of preventing potentially fatal complications that can result from ingestion of a foreign body.
Ključne riječi
foreign bodies; gastroscopy; mucous membrane; prisoners; self-injurious behavior
Hrčak ID:
330058
URI
Datum izdavanja:
1.6.2025.
Posjeta: 899 *