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עמוד בית
Wed, 12.06.24

CASE COMMUNICATIONS

IMAJ | volume 26

Journal 1, January 2024
pages: 52-53

Gastric Perforation Secondary to Prolonged Multiple Foreign Body Ingestions in a Patient with Schizophrenia

1 Department of General Surgery, Tzafon Medical Center, Lower Galilee, Israel 2 Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel

Summary

Gastric perforation secondary to foreign body ingestion is rare. While obvious signs of acute abdomen usually lead to a prompt diagnosis by emergency department (ED) staff, this can be delayed in non-responsive or mentally disabled patients. An altered pain perception has been described in schizophrenia, as part of a complex phenomenon, which is thought to be unrelated to changes in nociceptive pathways. Cognitive impairment and negative symptoms may strongly influence the patient’s expression of pain [1].

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