ArticleInternational journal of surgery case reports2026
Acuphagia with sequential ingestion of sharp metallic objects and a magnet, causing intestinal bezoar, perforation, and peritonitis: a case report.
Article in International journal of surgery case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction and importance: Acuphagia is a rare psychopathological subtype of pica, characterized by the deliberate ingestion of sharp metallic objects. It can lead to life-threatening complications, including intestinal obstruction, perforation, and peritonitis, and, in severe cases, death. The subsequent ingestion of a magnet further increases the risk of complications. Case presentation: We report a unique case of a 16-year-old boy with no prior psychiatric diagnosis, presenting with severe abdominal pain for 2 months, absolute constipation for the last 4 days, along with fever and vomiting. History revealed sequential ingestion of small metallic bolts followed by a magnet. Clinical examination and imaging showed clustered radiopaque foreign bodies in the small bowel, causing intestinal obstruction and secondary peritonitis. Emergency exploratory laparotomy revealed five discrete perforations (three jejunal and two ileal). A 23 cm segment of the jejunum was resected to remove 15 metallic bolts and a magnet, followed by primary anastomosis, while two ileal perforations were managed with primary closure. Postoperatively, the patient was diagnosed with major depressive disorder and started on selective serotonin reuptake inhibitors and cognitive behavioral therapy. Discussion: The magnet likely caused clustering of previously ingested metallic bolts, forming a "metallic bezoar" that led to obstruction and perforation. This necessitated jejunal resection due to multiple perforations and pressure necrosis. This manuscript highlights the need to reconsider symptom-based postoperative imaging strategies. The patient's vocational environment was a key diagnostic clue. Conclusion: Early recognition and prompt surgical intervention are essential in high-risk cases. A multidisciplinary approach, including psychiatric management and follow-up, is crucial to prevent recurrence.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.