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Forensic Science, Medicine, and Pathology

, Volume 12, Issue 1, pp 108–112 | Cite as

A fatal outcome of pica

  • Donovan P. Loots
  • Lorraine du Toit-Prinsloo
Images in Forensics

Case report

A previously healthy 31 year old African male was assisting friends with the repair of the roof of a neighboring house. That evening at a social gathering the man complained of an apparent headache and went home early where he later died suddenly and unexpectedly. No history indicating the possibility of an underlying psychiatric illness was obtained. Due to the nature and circumstances surrounding the sudden unexpected death the body was referred for a medico-legal investigation in terms of the Inquests Act 58 of 1959.

A postmortem full-body scan using the LODOX ® Statscan was performed prior to the commencement of the autopsy and confirmed the presence of multiple sharp radio-opaque foreign objects in the region of the stomach, small bowel, descending colon, and sigmoid colon (Fig.  1).

Keywords

Foreign Body Eating Disorder Razor Blade Foreign Object Prison Inmate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Dorland’s illustrated medical dictionary. 31st ed. Philadelphia: Saunders Elsevier; 2007. p. 1466.Google Scholar
  2. 2.
    Byard RW. A review of the forensic implications of pica. J Forensic Sci. 2014;59(5):1413–6.CrossRefPubMedGoogle Scholar
  3. 3.
    Yamaguchi Y, Terashima M, Nakao A, et al. To remove or not remove? Twenty or more sewing needles in the gastrointestinal tract. Acute Med Surg. 2014;1:250–1.CrossRefGoogle Scholar
  4. 4.
    Zouros E, Oikonomou D, Theoharis G, Bantias C, Papadimitropoulos K. Perforation of the cecum by a toothpick: report of a case and review of the literature. J Emerg Med. 2014;47(6):e133–7.CrossRefPubMedGoogle Scholar
  5. 5.
    Goh BK, Chow PK, Quah HM, Ong HS, Eu KW, Ooi LL, et al. Perforation of the gastrointestinal tract secondary to ingestion of foreign bodies. World J Surg. 2006;30(3):372–7.CrossRefPubMedGoogle Scholar
  6. 6.
    Baraka A, Bikhazi G. Oesophageal foreign bodies. Br Med J. 1975;1(5957):561–3.PubMedCentralCrossRefPubMedGoogle Scholar
  7. 7.
    Cangir AK, Tug T, Okten I. An unusual foreign body in the esophagus: report of a case. Surg Today. 2002;32(6):523–4.CrossRefPubMedGoogle Scholar
  8. 8.
    Velitchkov NG, Grigorov GI, Losanoff JE, Kjossev KT. Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg. 1996;20(8):1001–5.CrossRefPubMedGoogle Scholar
  9. 9.
    Hong KH, Kim YJ, Kim JH, Chun SW, Kim HM, Cho JH. Risk factors for complications associated with upper gastrointestinal foreign bodies. World J Gastroenterol. 2015;21(26):8125–31.PubMedCentralPubMedGoogle Scholar
  10. 10.
    Dalal PP, Otey AJ, McGonagle EA, Whitmill ML, Levine EJ, McKimmie RL, et al. Intentional foreign object ingestions: need for endoscopy and surgery. J Surg Res. 2013;184(1):145–9.CrossRefPubMedGoogle Scholar
  11. 11.
    Barros JL, Caballero A Jr, Rueda JC, Monturiol JM. Foreign body ingestion: management of 167 cases. World J Surg. 1991;15(6):783–8.CrossRefPubMedGoogle Scholar
  12. 12.
    Grimes IC, Spier BJ, Swize LR, Lindstrom MJ, Pfau PR. Predictors of recurrent ingestion of gastrointestinal foreign bodies. Can J Gastroenterol. 2013;27(1):e1–4.PubMedCentralPubMedGoogle Scholar
  13. 13.
    Gracia C, Frey CF, Bodai BI. Diagnosis and management of ingested foreign bodies: a ten-year experience. Ann Emerg Med. 1984;13(1):30–4.CrossRefPubMedGoogle Scholar
  14. 14.
    Eisen GM, Baron TH, Dominitz JA, Faigel DO, Goldstein JL, Johanson JF, et al. Guideline for the management of ingested foreign bodies. Gastrointest Endosc. 2002;55(7):802–6.CrossRefPubMedGoogle Scholar
  15. 15.
    Mantokoudis G, Hegner S, Dubach P, Bonel HM, Senn P, Caversaccio MD, et al. How reliable and safe is full-body low-dose radiography (LODOX Statscan) in detecting foreign bodies ingested by adults? Emerg Med J. 2013;30(7):559–64.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Department of Forensic MedicineUniversity of PretoriaArcadiaSouth Africa

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