Ingestion of Bell Clappers by a Shaman in Jumla, Nepal: A Case Report
Accidental foreign body ingestion is a common problem encountered in Emergency. Deliberate FB ingestion may result due to an act of insanity or an act of daring. A shaman locally known as Dhami was brought to Emergency with the history of ingestion of bell clappers. He denied the history of psychia...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2019-02-01
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| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | https://www.jnma.com.np/jnma/index.php/jnma/article/view/4055 |
| Summary: | Accidental foreign body ingestion is a common problem encountered in Emergency. Deliberate FB ingestion may result due to an act of insanity or an act of daring. A shaman locally known as Dhami was brought to Emergency with the history of ingestion of bell clappers. He denied the history of psychiatric illness or substance abuse. On physical examination, there were signs of peritonitis. Laparotomy was done to remove the FBs. Post-operative period was uneventful. Apart from the surgical intervention, psychological counselling was given to him. This is a rare interesting case due to the fact that the 15 cm long FBs passing all the way through without significant injury and finally causing obstruction in ileocecal junction and perforation in the distal ileum.
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| ISSN: | 0028-2715 1815-672X |