Delayed Presentation of Submucosal Retained Toothbrush from Self-Inflicted Injury in Patient with Schizophrenia
Joint Authors
Creswell, Caleb H.
Kille, Tony L.
Kennedy, Tabassum
Dailey, Seth H.
Hoffman, Matthew R.
Source
Case Reports in Emergency Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-31
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Foreign body ingestion occurs in not only children but also adults, particularly those with history of neurologic disease, alcohol use, or psychiatric disease.
We present the case of a 40-year-old male with schizophrenia who presented to the emergency room with a long history of pharyngeal foreign body sensation which had recently progressed to include trismus, odynophagia, and dyspnea.
Flexible laryngoscopy demonstrated fullness of the right posterior pharyngeal wall and computed tomography (CT) showed a linear opaque foreign body extending from the level of the oropharynx to the thyroid ala.
Further history elicited that he stabbed himself in the pharynx two years prior with a toothbrush following a command hallucination.
The toothbrush was removed uneventfully via an external approach.
The patient was discharged with psychiatry follow-up.
This case is unusual due to the submucosal location of the foreign body and the length of retention.
It demonstrates the atypical nature which patients with comorbid psychiatric illness may present following foreign body injury and the use of an external surgical approach for the removal of a retained foreign body based on CT reconstruction.
American Psychological Association (APA)
Creswell, Caleb H.& Kille, Tony L.& Hoffman, Matthew R.& Kennedy, Tabassum& Dailey, Seth H.. 2017. Delayed Presentation of Submucosal Retained Toothbrush from Self-Inflicted Injury in Patient with Schizophrenia. Case Reports in Emergency Medicine،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145197
Modern Language Association (MLA)
Creswell, Caleb H.…[et al.]. Delayed Presentation of Submucosal Retained Toothbrush from Self-Inflicted Injury in Patient with Schizophrenia. Case Reports in Emergency Medicine No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1145197
American Medical Association (AMA)
Creswell, Caleb H.& Kille, Tony L.& Hoffman, Matthew R.& Kennedy, Tabassum& Dailey, Seth H.. Delayed Presentation of Submucosal Retained Toothbrush from Self-Inflicted Injury in Patient with Schizophrenia. Case Reports in Emergency Medicine. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1145197
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145197