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Archives of Academic Emergency Medicine

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Vol. 6 No. 1 (2018)

January 2018

Sudden Death Following Oral Intake of Metal Objects (Acuphagia): a Case Report

  • Mohammad Ali Emamhadi
  • Fares Najari
  • Mohammad Javad Hedayatshode
  • Shokoufeh Sharif

Archives of Academic Emergency Medicine, Vol. 6 No. 1 (2018), 1 January 2018 , Page e16
https://doi.org/10.22037/aaem.v6i1.59 Published: 2018-11-21

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Abstract

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), pica is described as eating one or more non-nutritive, non-food substances over a period of at least 1 month that is severe enough to warrant clinical attention. The present case is a 44-year-old man who was brought to emergency department following severe abdominal pain, but died before admission or receiving any treatments. On the autopsy, 64 bolts and metal fittings (3700 grams) were found in the esophagus, stomach, small intestine, and large intestine of the patient.
Keywords:
  • Death
  • sudden
  • intestinal perforation
  • peritonitis
  • pica
  • case report
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How to Cite

1.
Emamhadi MA, Najari F, Hedayatshode MJ, Sharif S. Sudden Death Following Oral Intake of Metal Objects (Acuphagia): a Case Report. Arch Acad Emerg Med [Internet]. 2018 Nov. 21 [cited 2025 Jul. 9];6(1):e16. Available from: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/59
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References

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Ebrahimi M, Malmir J, Mahmoudi-Gharaee A, Foroughian M. A Rare Case of Gastrointestinal Tract Foreign Body; Glassy Stomach. Emergency. 2017;5(1):e44.

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Alvarez AAA, Parra JF, Buitrago DA, Rodriguez F, Moreno A. Gastric Perforation and Phlegmon Formation by Foreign BodyIngestion. Emergency. 2014;2(3):141-3.

Halliday D, Iroegbu F. Case Report ‘ACUPHAGIA’-An Adult Nigerian Who Ingested 497 Sharp Metallic Objects. Editorial Advisory Board. 2007;4(2):54.

Beck DA, Frohberg NR. Coprophagia in an elderly man: a case report and review of the literature. The International Journal of Psychiatry in Medicine. 2005;35(4):417-27.

Hambidge K, Silverman A. Pica with rapid improvement after dietary zinc supplementation. Archives of disease in childhood. 1973;48(7):567.

Kariholu P, Jakareddy R, HemanthKumar M, Paramesh K, Pavankumar N. Pica—a case of acuphagia or hyalophagia? Indian Journal of Surgery. 2008;70(3):144-6.

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