Repetitive Sharps Ingestion and Challenges with Retrieval and Prevention
  • Subash Ghimire
    Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA
  • Kriti Suwal
    Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA
  • Tsujung Yang
    Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA
  • Hafiz Khan
    Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA
  • Matthew Lincoln
    Guthrie Robert Packer Hospital, Sayre, Pennsylvania, USA

Keywords

Sharps, ingestion, endoscopy, psychiatry

Abstract

Introduction: Recurrent deliberate sharp foreign body ingestion is associated with frequent hospitalizations and a high risk of complications, including perforation and peritonitis. These patients require urgent care. In addition, removal of foreign bodies can be challenging.
Case Description:We describe the case of a patient with borderline personality disorder who was admitted multiple times with sharps ingestion and presented challenges with her care.
Conclusion: Our case highlights the cause of recurrent sharps ingestion and provides recommendations on the retrieval of sharp foreign bodies and prevention.

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References

  • Ikenberry SO, Jue TL, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, et al. Management of ingested foreign bodies and food impactions. Gastrointest Endosc 2011;73(6):1085–1091.

  • Huang BL, Rich HG, Simundson SE, Dhingana MK, Harrington C, Moss SF. Intentional swallowing of foreign bodies is a recurrent and costly problem that rarely causes endoscopy complications. Clin Gastroenterol Hepatol 2010;8(11):941–946.

  • Birk M, Bauerfeind P, Deprez PH, Häfner M, Hartmann D, Hassan C, et al. Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2016;48(5):489–496.

  • Bekkerman M, Sachdev AH, Andrade J, Twersky Y, Iqbal S. Endoscopic management of foreign bodies in the gastrointestinal tract: a review of the literature. Gastroenterol Res Pract 2016;2016:8520767.

  • Frei-Lanter CM, Vavricka SR, Kruger THC, Tutuian R, Geier A, Bauerfeind P, et al. Endoscopy for repeatedly ingested sharp foreign bodies in patients with borderline personality disorder: an international survey. Eur J Gastroenterol Hepatol 2012;4(7):793–797.

  • Nixon MK, Heath NL. Self-injury in youth: the essential guide to assessment and intervention. London: Routledge; 2008, p. 1–339.
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    Published: 2020-07-17
    Issue: 2020: Vol 7 No 10 (view)


    How to cite:
    1.
    Ghimire S, Suwal K, Yang T, Khan H, Lincoln M. Repetitive Sharps Ingestion and Challenges with Retrieval and Prevention. EJCRIM 2020;7 doi:10.12890/2020_001824.

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