Case Report of a Relapsing Metal Bezoar
Author Information
Author(s): Prieto-Aldape Manuel Rodrigo, Almaguer-García Francisco Issac, Figueroa-Jiménez Sandra Edith, Fernández-Díaz Oscar, Mora-Huerta José Antonio, González-Ojeda Alejandro
Primary Institution: Surgical Division, Medical Research Unit, Clinical Epidemiology, Western National Medical Center, Mexican Institute of Social Security
Hypothesis
Can a relapsing metal bezoar cause intestinal occlusion in a patient with psychiatric disorders?
Conclusion
Intestinal occlusion in patients with psychiatric disorders can result from rare causes such as bezoars.
Supporting Evidence
- The patient had a history of previous abdominal surgery for intestinal occlusion.
- Plain radiographs showed multiple metal objects in the stomach.
- The patient was discharged and referred to a psychiatric facility after surgery.
- A 6-month follow-up showed no recurrence or any postoperative complication.
Takeaway
A man with schizophrenia had a lot of metal objects stuck in his stomach, which caused him pain. Doctors took them out, and he got better.
Methodology
The patient underwent exploratory celiotomy to remove the metal objects from the stomach.
Potential Biases
Potential bias due to the patient's psychiatric history and previous surgeries.
Limitations
The case is based on a single patient, limiting generalizability.
Participant Demographics
A 34-year-old man with a history of schizophrenia and epilepsy.
Digital Object Identifier (DOI)
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