Small bowel obstruction 5 years following the ingestion of serrated scissors

Abstract
Ingested foreign bodies are common in the cohort of psychiatric patients, however clinical quiescence in this group is rare. We present a case of a 45-year-old female with emotionally unstable personality disorder (borderline type) presenting with partial intestinal obstruction 5 years after the known ingestion of serrated metallic scissors. In the asymptomatic interim a conservative approach of tracking the blades radiologically was taken. Following discussion, we conclude the following: early surgical intervention is encouraged if natural passage does not occur within 3 days following ingestion, and that any concurrent surgical needs should be addressed at this time.
URI
https://orda.derbyhospitals.nhs.uk/handle/123456789/104https://academic.oup.com/jscr/article/2016/5/rjw086/2522565
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Date
2016-05Author
Lingam, Krishna