Canadian journal of surgery. Journal canadien de chirurgie · 1999
The hazards of vinyl glove ingestion in the mentally retarded patient with pica: new implications for surgical management.
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Kamal I, Thompson J, Paquette D M
Аннотация
OBJECTIVE: To report experience with the treatment of complications of vinyl glove ingestion in mentally retarded patients with pica.
DESIGN: A retrospective case series.
SETTING: Two university-affiliated hospitals.
PATIENTS: Five mentally retarded patients, 4 with a history of pica, who were admitted for the management of complications resulting from the ingestion of vinyl gloves.
MAIN OUTCOME MEASURES: Type of complication, treatment and operative outcome.
FINDINGS: The patients ranged in age from 26 to 46 years. One patient died while awaiting surgical consultation of massive gastrointestinal bleeding from a large gastric ulcer caused by a vinyl glove bezoar (VGB). Four VGBs were removed surgically. Endoscopic removal was difficult or impossible because the gloves had become hardened and matted.
CONCLUSIONS: VGB should be considered in institutionalized mentally retarded people with a history of pica when they present with gastrointestinal symptoms. VGBs should be removed directly by laparotomy, gastrotomy or enterotomy. Endoscopic removal is not recommended.
DESIGN: A retrospective case series.
SETTING: Two university-affiliated hospitals.
PATIENTS: Five mentally retarded patients, 4 with a history of pica, who were admitted for the management of complications resulting from the ingestion of vinyl gloves.
MAIN OUTCOME MEASURES: Type of complication, treatment and operative outcome.
FINDINGS: The patients ranged in age from 26 to 46 years. One patient died while awaiting surgical consultation of massive gastrointestinal bleeding from a large gastric ulcer caused by a vinyl glove bezoar (VGB). Four VGBs were removed surgically. Endoscopic removal was difficult or impossible because the gloves had become hardened and matted.
CONCLUSIONS: VGB should be considered in institutionalized mentally retarded people with a history of pica when they present with gastrointestinal symptoms. VGBs should be removed directly by laparotomy, gastrotomy or enterotomy. Endoscopic removal is not recommended.