TY - JOUR PY - 2021// TI - Lethal small bowel obstruction due to pica JO - Journal of forensic sciences A1 - Busch, Johannes Rødbro A1 - Löchte, Lars A1 - Lindh, Anna-Sofia A1 - Jacobsen, Christina SP - ePub EP - ePub VL - ePub IS - ePub N2 - 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.
Language: en
LA - en SN - 0022-1198 UR - http://dx.doi.org/10.1111/1556-4029.14871 ID - ref1 ER -