International journal of surgery case reports · 2025
Intentional ingestion of plaster for suicide: A case report and literature review.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Bozorgmehr Ramin, Eghbal Fatemeh, Hesari Mina Fattah, Kalhor Mahdie
Аннотация
INTRODUCTION AND IMPORTANCE: Bezoars are indigestible masses in the gastrointestinal tract, classified by their composition. Plaster ingestion is a rare and often suicidal act. Plaster hardens in the stomach, risking obstruction or perforation. This case highlights the clinical challenges associated with managing plaster-induced bezoars and underscores the importance of prompt surgical and psychiatric intervention in such rare presentations.
PRESENTATION OF CASE: A 47-year-old man with a history of depression and daily methadone use presented to the emergency department with epigastric pain, nausea, and vomiting 48 h after ingesting a mixture of plaster and water in a suicide attempt. Abdominal radiography revealed a large, radiopaque gastric mass. Upper gastrointestinal endoscopy confirmed a solidified plaster bezoar causing mucosal injury. An emergency gastrotomy was performed, successfully removing a 20 × 15 × 20 cm plaster cast from the stomach.
CLINICAL DISCUSSION: Plaster ingestion, though rare, can cause gastric outlet obstruction due to rapid hardening. Radiopaque masses on imaging. Early cases may respond to gastric irrigation or endoscopic management; however, delayed presentations typically require surgical intervention.
CONCLUSION: Plaster ingestion is a rare but life-threatening cause of gastric bezoar that often necessitates surgical intervention in delayed cases. This case emphasizes urgent management, psychiatric follow-up, and awareness of complications to improve outcomes in such uncommon presentations. Early recognition and intervention are critical to prevent severe consequences.
PRESENTATION OF CASE: A 47-year-old man with a history of depression and daily methadone use presented to the emergency department with epigastric pain, nausea, and vomiting 48 h after ingesting a mixture of plaster and water in a suicide attempt. Abdominal radiography revealed a large, radiopaque gastric mass. Upper gastrointestinal endoscopy confirmed a solidified plaster bezoar causing mucosal injury. An emergency gastrotomy was performed, successfully removing a 20 × 15 × 20 cm plaster cast from the stomach.
CLINICAL DISCUSSION: Plaster ingestion, though rare, can cause gastric outlet obstruction due to rapid hardening. Radiopaque masses on imaging. Early cases may respond to gastric irrigation or endoscopic management; however, delayed presentations typically require surgical intervention.
CONCLUSION: Plaster ingestion is a rare but life-threatening cause of gastric bezoar that often necessitates surgical intervention in delayed cases. This case emphasizes urgent management, psychiatric follow-up, and awareness of complications to improve outcomes in such uncommon presentations. Early recognition and intervention are critical to prevent severe consequences.