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    Small bowel obstruction 5 years following the ingestion of serrated scissors

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    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/123456789/1276
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    • General Surgery [8]
    Date
    2016-05
    Author
    Limb, Richard
    Karam, Edward
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    Limb 2016 1-3.pdf (1.418Mb)

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