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International Journal of Medical Toxicology and Forensic Medicine

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  3. Vol. 5 No. 3(Summer) (2015): International Journal of Medical Toxicology and Forensic Medicine
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Vol. 5 No. 3(Summer) (2015)

September 2015

Medico-Legal Significance of ‘Self-Embedding of Foreign Bodies’

  • M Vidanapathirana
  • KM Tikiri Bandara Gunathilake

International Journal of Medical Toxicology and Forensic Medicine, Vol. 5 No. 3(Summer) (2015), 12 September 2015 , Page 171-173
https://doi.org/10.22037/ijmtfm.v5i3(Summer).7424 Published: 09/12/2015

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Abstract

Self-embedding is a form of self-injury where foreign objects are inserted underneath the skin. Though it is reported in scientific literature, it is not being reported in forensic literature.

In the year 2010, a housemaid returned from Saudi Arabia with 24 nails and needles in her body. After arrival, she had not informed that she had been tortured by the employer.      

In the year 2013, another Sri Lankan housemaid from Middle East admitted to hospital with needles in her body alleged that needles being inserted by her master.  X-rays showed 4 needles in her face and limbs, placed parallel to the skin surface. She would have self-embedded these needles in a way to escape from employer.    

There are cases of self-inflicted injuries in people with Munchausen syndrome, where people simulate trauma or illness in order to draw attention.

In conclusion, ‘the medico-legal significance of self-embedding of foreign objects’ is a new concept where the forensic physician has to exclude ‘torture’ by a third party before ascertaining the concept of self-harm. Multiple foreign objects, found parallel to body surface, at accessible sites and accessible directions to push foreign bodies between the thumb and index finger favors self-embedding.

Keywords:
  • Self-Embedding of needles
  • Munchausen syndrome
  • Torture
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How to Cite

Vidanapathirana, M., & Tikiri Bandara Gunathilake, K. (2015). Medico-Legal Significance of ‘Self-Embedding of Foreign Bodies’. International Journal of Medical Toxicology and Forensic Medicine, 5(3(Summer), 171–173. https://doi.org/10.22037/ijmtfm.v5i3(Summer).7424
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References

Bennett GH, Shiels WE 2nd, Young AS, Lofthouse N, Mihalov L. Self-embedding behavior: a new primary care challenge. Pediatrics. 2011;127(6):1386-91.

Young AS, Shiels WE 2nd, Murakami JW, Coley BD, Hogan MJ. Self-embedding behavior: radiologic management of self-inserted soft-tissue foreign bodies. Radiology. 2010;257(1):233-9.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (5th ed.). American Psychiatric Publishing. 2013;645.

Pigg S. "Disturbing trend shows troubled teens pushing sharp items deep into their flesh". The Daily Gleaner (Brunswick Press). 2009. p. C5. (accessed on 31.01.2014)

Frasier DK. Murder Cases of the Twentieth Century. Biographies and Bibliographies of 280 Convicted or Accused Killers. 1996; McFarland & Company (Publisher). 1996.

Doctors extract nails stuck into Sri Lankan maid. http://www.theguardian.com/world/ 2010/ aug/27/sri-lanka-maid-saudi-arabia (accessed on 12.01.2014)

Young AS, Shiels WE, Murakami JW, Coley BD, Hogan MJ. Self-embedding behavior: radiologic management of self-inserted soft-tissue foreign bodies. Radiology. 2010;257:233-239.

Mangnall J. Yurkovich E. A literature review of deliberate self-harm. Perspect Psychiatr Care. 2008;44:175-84.

Falagas ME, Christopoulou M, Rosmarakis ES, Vlastou C. Munchausen’s syndrome pre-senting as severe panniculitis. Int J Clin Pract. 2004;58(7):720–2.

Reich E, Kajosh H, Verbanck P, Kornreich C. Munchausen's syndrome: a factitious disorder? A case report. Rev Med Brux. 2013 Nov-Dec;34(6):485-90.

Dhossche D, Van der Steen F, Ferdinand R. Somatoform disorders in children and adolescents: a comparison with other internalizing disorders. Ann Clin Psychiatry. 2002;14(1):23-31.

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