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VOLUME 5 , ISSUE 3 ( July-September, 2019 ) > List of Articles

CASE REPORT

Polyembolokoilamania: A Rare Case Report

Madan Rajashekar, Manaswini Mullapudi, Vishnu Vardhan, Vidhya Malyam

Keywords : Polyembolokoilamania, Schizophrenia,Hallucinations

Citation Information : Rajashekar M, Mullapudi M, Vardhan V, Malyam V. Polyembolokoilamania: A Rare Case Report. J Med Sci 2019; 5 (3):75-76.

DOI: 10.5005/jp-journals-10045-00125

License: CC BY-NC 4.0

Published Online: 00-09-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

The introduction of foreign bodies into the rectum dates back to 16th century. When featured in literature, it has been typically discussed in medical subdisciplines, such as surgery, gastroenterology, emergency medicine and urology. However, in-depth exploration of this multidimensional phenomenon in the field of psychiatry has thus far been limited. Polyembolokoilamania inserting foreign bodies into orifices is a rare disorder and rectal insertions happen mostly due to erotic activity. Insertion of foreign bodies in psychiatric patients is associated with psychiatric disorders like schizophrenia, either due to delusional beliefs or in response to command hallucinations. In this case report, we are reporting a 35-year-old male patient who had inserted a metal tumbler into anal orifice and claimed that spirits had inserted the object into anal orifice against his will, later the patient was diagnosed as having paranoid schizophrenia and was treated. It is likely that any radiologist and surgeons will encounter this type of case, and thus should be familiar with both diagnostic and management options and refer for psychiatric help to avoid recurrences.


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  1. Mushtaq R, Shoib S, Bhat M, et al. Unusual foreign body insertion in rectum and vagina in schizophrenic patient. Int J Res Med Sci 2014;2(1):367. DOI: 10.5455/2320-6012.ijrms20140276.
  2. Klein CA. Intentional ingestion and insertion of foreign objects: a forensic perspective. J Am Acad Psychiatry Law 2012;40(1):119–126.
  3. Unruh BT, Nejad SH, Stern TW, et al. Insertion of foreign bodies (polyembolokoilamania): Underpinnings and management strategies. Prim Care Companion CNS Disord 2012;14(1). DOI: 10.4088/PCC.11f01192.
  4. Gunduz Y, Altintoprak F, Asill K, et al. Rectal foreign body deodorant bottle in a schizophrenic patient. J Clin Case Rep 2014;4(9). DOI: 10.4172/2165-7920.1000409.
  5. Nivatvongs S, Metcalf DR, Sawyer MD. A simple technique to remove a large object from the rectum. J Am Coll Surg 2006;203(1):132–133. DOI: 10.1016/j.jamcollsurg.2006.03.012.
  6. Hellinger MD. Anal trauma and foreign bodies. Surg Clin North Am 2002;82(6):1253–1260. DOI: 10.1016/S0039-6109(02)00064-6.
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