Intentional Razor Blade Ingestion: A Case Study Analysis on Management, Treatment, and Psychiatric Components
This case study addresses the importance of a multidisciplinary team approach to intentional razor blade ingestion in a patient with longstanding psychiatric illness. Other topics that are highlighted include multiple management strategies and possible complications within the team dynamic.
Key Words: Foreign body ingestion; razor blades; suicide; ethics; emergency medicine
IRB: Exempt, HIRB #2017-0001Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.
Palese C, Al-Kawas FH. Repeat intentional foreign body ingestion: The importance of a multidisciplinary approach. J Gastroenterol Hepatol. 2012;8(7):485-6.
Eisen GM, Baron TH, Dominitz JA. American society for gastrointestinal endoscopy: Guidelines for the management of ingested foreign bodies. Gastrointest Endosc. 2002;55(7):802-6.
Losanoff JE, Richman BW, Jones JW. Razor blade “ingestion” – look behind the film. J Clin Gastroenterol. 2003;37(2):194-5.
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.
Bekkerman M, Sachdev AH, Andrade J, Twersky Y, Iqbal S. Endoscopic management of foreign bodies in the gastrointestinal tract: a review of the literature. Gastroenterol Res Pract. 2016;2016:8520767
Atluri D, Veluru C, Chopra A, Mullen K. Recurrent intentional foreign body ingestion: an endoscopist’s dilemma. J Gastroenterol Hepatol. 2012;8(7):482-4.
Gałczyński A, Cieplińska E, Konturek A. Habitual intentional foreign body ingestion – A literature review. PJS. 2016;88(5):290-7.
Blaho KE, Merigian KS, Winbery SL, Park LJ, Cockrell M. Foreign body ingestions in the emergency department: Case reports and review of treatment. J Emerg Med. 1998;16(1):21-6.
Gitlin DF, Caplan JP, Rogers MP, Avni-Barron O, Braun I, Barsky AJ. Foreign-body ingestion in patients with personality disorders. Psychosomatics. 2007;48(2):162-6.
Evans DC, Wojda TR, Jones CD, Otey AJ, Stawicki SP. Intentional ingestions of foreign objects among prisoners: a review. World J Gastrointest Endosc. 2015;7(3):162-8.
Slovis C, Tyler-Werman R, Solightly DP. Massive foreign object ingestion. Ann Emerg Med. 1982;11(8):433-5.
Skeik N, Jabr FI, Stark M. Unusual case of foreign-body ingestion. J Emerg Med. 2013;44(3):307-9.
Erbil B, Karaca MA, Aslaner MA, Ibrahimov Z, Kunt MM, Akpinar E, Özmen MM. Emergency admissions due to swallowed foreign bodies in adults. World J Gastroenterol. 2013;19(38):6447-52.
Khanna R, Ansari M, Nitin J, Singh S, Kumar A. Deliberate ingestion of sharp and long foreign bodies. Indian J Gastroenterol. 2003;22(2):72.
James AH, Allen-Mersh TG. Recognition and management of patients who repeatedly swallow foreign bodies. J R Soc Med. 1982;75(2):107-10.
Chauhan MS, Behera C, Naagar S, Sreeniva M. Ingestion of safety razor blade and delayed hanging in a complex suicide. Med Leg J. 2016;84(4):215-8.
Poynter BA, Hunter JJ, Coverdale JH, Kempinsky CA. Hard to swallow: a systematic review of deliberate foreign body ingestion. Gen Hosp Psychiatry. 2011;33(5):518-24.
Choi JW, Park S, Yi KK, Hong JP. Suicide mortality of suicide attempt patients discharged form emergency room, nonsuicidal psychiatric patient discharged form emergency room, admitted suicide attempt patients, and admitted nonsuicidal psychiatric patients. Suicide Life Threat Behav. 2012;42(3):235-43.
Sacchetti A, Carraccio C, Lichenstein R. Hand held metal detector. Identification of ingested foreign bodies. Pediatr Emerg Care. 1994;10(4):204-7.
Ross SP, Letta F. Successful use of a metal detector in locating coins ingested by children. J Pediatr. 1992;120(5):752-3.
Perseius KI, Ojehagen A, Ekdahl S et al. Treatment of suicidal and deliberate self-harming patients with borderline personality disorder using dialectical behavioral therapy: the patients’ and the therapists’ perceptions. Arch of Psychiatr Nurs. 2003;17(5):218-27.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution - Non-Commercial 4.0 International License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in the Medical Student Press Journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).