Lethal small bowel obstruction due to pica
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Up to 25% of institutionalized patients with cognitive deficiencies display pica-like behavior, with an estimated annual incidence of small bowel obstruction of 2%. We present a case based on the forensic autopsy of a 41-year-old woman who died as a result of a missed diagnosis of small bowel obstruction after ingesting a foreign body. The case underlines the importance of precaution when treating patients with cognitive deficiency and/or language deficits and gastrointestinal symptoms. In such cases, it is important to employ a liberal threshold for radiological investigations and, if possible, obtain a medical history from a person close to the patient.
Original language | English |
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Journal | Journal of Forensic Sciences |
Volume | 67 |
Issue number | 1 |
Pages (from-to) | 374-376 |
ISSN | 0022-1198 |
DOIs | |
Publication status | Published - 2022 |
Bibliographical note
© 2021 American Academy of Forensic Sciences.
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