John Franklin Brunner MD, Presenter: Nothing to Disclose

Marie F Russell, Abstract Co-Author: Nothing to Disclose

Lee Alan Myers MD, Abstract Co-Author: Nothing to Disclose

Keith David Herr MD, Abstract Co-Author: Nothing to Disclose

Orest Bohdan Boyko MD, PhD, Abstract Co-Author: Nothing to Disclose

Sravanthi Reddy MD, Abstract Co-Author: Nothing to Disclose

Paul Michael Jaffray MD, Abstract Co-Author: Nothing to Disclose

• Self-harm-associated foreign bodies result in significant morbidity and mortality, resulting in 1500-1600 deaths per year in the USA • Amongst adults, the problem disproportionately affects individuals suffering from psychiatric conditions (85%), many of whom undergo repeat exposure to ionizing radiation in the form of CT and radiographs • Ingestion of foreign bodies is the most frequent manifestation of this behavior • Though the vast majority of ingested foreign bodies pass with only conservative management, 10-20% of patients require surgery or endoscopy for retrieval • Though less frequent, self-harm-related penetrating trauma results in higher morbidity and mortality.  

I. Introduction II. Self-Harm Behavior      a. Per Os (Ingested foreign bodies)           i. Common entities           ii. Complications (Figure 1-2)      b. Per Rectum           i. Common entities (More often the result of sexual act or assault than self-harm)           ii. Complications      c. Per Urethra (Figure 3)           i. Common entities           ii. Complications      d. Per Vagina (Figure 4)           i. Common entities           ii. Complications      e. Self-inflicted penetrating trauma           i. Common entities (e.g. stabbing, GSW, other)(Figure 5)           ii. Complications III. Review of management strategies  

http://abstract.rsna.org/uploads/2014/14016855/14016855_k5ct.pdf

Brunner, J, Russell, M, Myers, L, Herr, K, Boyko, O, Reddy, S, Jaffray, P, Self-harm-Related Foreign Bodies in Adults: Diagnosis and Management in the Emergency Department.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14016855.html