Lethal small bowel obstruction due to pica.

J Forensic Sci

Section of Forensic Pathology, Department of Forensic Medicine, University of Copenhagen, Copenhagen, Denmark.

Published: January 2022

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.

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http://dx.doi.org/10.1111/1556-4029.14871DOI Listing

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