Abstract
While foreign body ingestion occurs most often in children, adult ingestion has been reported. Complete clinical monitoring in suspected cases may be the actual treatment sometimes. In case of complications or if there is confirmation of foreign body, endoscopic removal or surgical removal can be indicated. We present a case of a 21-year-old male who presented to the emergency department with deliberate ingestion of Crushed Glass pieces of alcohol bottle followed with burning sensation over the chest and upper abdominal pain. The patient was admitted and necessary investigations taken. The abdominal x ray revealed specks of crushed glass pieces being coated over large bowel. Psychiatrist consultation obtained for a possible psychiatric illness. The patient was under observation for 5 days and was treated conservatively. No active internal bleed was observed. This is a case report of a patient with deliberate ingestion of crushed glass indicating the signs and symptoms and different types of management for Glass ingestion.
Keywords: Foreign body; Glass ingestion.
References
- Cheng W, Tam PK. Foreign-body ingestion in children: experience with 1,265 cases. J Pediatr Surg. 1999; 34(10):1472-1476.
- O’Sullivan ST, Reardon CM, McGreal GT, Hehir DJ, Kirwan WO, Brady MP. Deliberate ingestion of foreign bodies by institutionalised psychiatric hospital patients and prison inmates. Ir J Med Sci. 1996;165(4):294-296.
- Palese C, Al-Kawas FH. Repeat intentional foreign body ingestion: the importance of a multidisciplinary approach. Gastroenterol Hepatol (N Y). 2012; 8(7):485-486.
- Webb WA. Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest Endosc.1995; 41(1): 39-51.
- Sung SH, Jeon SW, Son HS, Kim SK, Jung MK, Cho CM, Tak WY, et al. Factors predictive of risk for complications in patients with oesophageal foreign bodies. Dig Liver Dis. 2011; 43(8):632-635.
- Chiu YH, Hou SK, Chen SC, How CK, Lam C, Kao WF, Yen DH, et al. Diagnosis and endoscopic management of upper gastrointestinal foreign bodies. Am J Med Sci. 2012; 343(3):192-195.
- Ginsberg GG. Management of ingested foreign objects and food bolus impactions. Gastrointestm Endosc. 1995; 41(1):33-38.
- Peng A, Li Y, Xiao Z, Wu W. Study of clinical treatment of esophageal foreign body-induced esophageal perforation with lethal complications. Eur Arch Otorhinolaryngol. 2012; 269(9): 2027-2036.
- Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, Decker GA, et al. Management of ingested foreign bodies and food impactions. Gastrointest 2011; 73(6):1085-091.
- Katsinelos P, Kountouras J, Paroutoglou G, Zavos C, Mimidis K, Chatzimavroudis G. Endoscopic techniques and management of foreign body ingestion and food bolus impaction in the upper gastrointestinal tract: a retrospective analysis of 139 cases. J Clin Gastroenterol. 2006;40(9):784-789.
- Smith MT, Wong RK. Foreign bodies. Gastrointest Endosc Clin N Am. 2007;17(2):361-382, vii.
- Liu S, Li J, Lv Y. Gastrointestinal damage caused by swallowing multiple magnets. Front Med. 2012;6(3):280-287.
- Litovitz T, Whitaker N, Clark L, White NC, Marsolek M. Emerging battery-ingestion hazard: clinical implications. Pediatrics. 2010;125(6):1168-1177.
- Mosca S, Manes G, Martino R, Amitrano L, Bottino V, Bove A, et al. Endoscopic management of foreign bodies in the upper gastrointestinal tract: report on a series of 414 adult patients. Endoscopy. 2001; 33(08): 692–6. [PubMed]
- Courter BJ. Radiographic screening for glass foreign bodies-what does a “negative” foreign body series really mean? Annals of emergency medicine. 1990;19(9):997-1000. [PubMed]
- Ng K. Retention of an ingested small blunt foreign body. Journal of the Belgian Society of Radiology. 2011;94(6) [PubMed]
Corresponding Author
Dr. C. P. Mohan
This email address is being protected from spambots. You need JavaScript enabled to view it.