Annals of medicine and surgery (2012) · 2025
Unusual presentation of bezoars and foreign body insertion in the breast as a self-harm behavior: a case report.
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Rehman Ibad Ur, Farooqui Fareeha, Aqeel Raheela, Qaiser Aabia, Waseem Sania, Amir M Ayhan, Okon Inibehe Ime, Satti Rida Altaf, Shah Syed Qamber Ali, Iqbal Khadija
Аннотация
INTRODUCTION AND IMPORTANCE: Although they are uncommon, self-inflicted foreign bodies in the breast pose special care difficulties. Since underlying psychological issues are frequently linked to these instances, early detection and a multidisciplinary approach are necessary to improve results.
CASE PRESENTATION: Over the course of four to five months, a 28-year-old mother developed recurring breast abscesses and draining sinuses. An ultrasound showed a cord-like structure with fluid accumulation in the right breast, and CT imaging identified the foreign matter as a broken safety pin. Saline irrigation and surgical excision were carried out. Bipolar disorder was diagnosed during a meeting with a psychiatrist. Other foreign objects, such as two hair tufts and a broken needle, were found during follow-up and extracted under local anesthetic. Because the patient did not take their psychiatric medication as prescribed, they were lost to follow-up.
CLINICAL DISCUSSION: Patients with unexplained breast complaints or recurrent abscesses should be evaluated for self-inflicted foreign bodies. This instance emphasizes the value of a multidisciplinary strategy that addresses the psychological as well as the physical aspects of self-harm by combining psychiatric treatment with surgical intervention.
CONCLUSION: Physicians need to be on the lookout for self-inflicted foreign bodies, especially in patients who have inconsistent medical histories or mental health conditions. Improving patient outcomes requires early discovery and thorough treatment, which includes psychological support.
CASE PRESENTATION: Over the course of four to five months, a 28-year-old mother developed recurring breast abscesses and draining sinuses. An ultrasound showed a cord-like structure with fluid accumulation in the right breast, and CT imaging identified the foreign matter as a broken safety pin. Saline irrigation and surgical excision were carried out. Bipolar disorder was diagnosed during a meeting with a psychiatrist. Other foreign objects, such as two hair tufts and a broken needle, were found during follow-up and extracted under local anesthetic. Because the patient did not take their psychiatric medication as prescribed, they were lost to follow-up.
CLINICAL DISCUSSION: Patients with unexplained breast complaints or recurrent abscesses should be evaluated for self-inflicted foreign bodies. This instance emphasizes the value of a multidisciplinary strategy that addresses the psychological as well as the physical aspects of self-harm by combining psychiatric treatment with surgical intervention.
CONCLUSION: Physicians need to be on the lookout for self-inflicted foreign bodies, especially in patients who have inconsistent medical histories or mental health conditions. Improving patient outcomes requires early discovery and thorough treatment, which includes psychological support.