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CASE REPORT
Year : 2015  |  Volume : 24  |  Issue : 1  |  Page : 82-87

Multiple self-inserted pins and nails in pericardium in a patient of schizophrenia: Case report and review


1 Department of Psychiatry, Ranchi Institute of Neuropsychiatry and Allied Sciences, Ranchi, Jharkhand, India
2 Pravara Institute of Medical Sciences (Deemed University), Rural Medical College, Loni, Maharashtra, India
3 Department of Psychiatry, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India

Correspondence Address:
S Chaudhury
Department of Psychiatry, Pravara Institute of Medical Sciences (Deemed University), Rural Medical College and Hospital, Loni - 413 736, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-6748.160959

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This report is the case of multiple self-inserted pins and nails in chest and pericardial cavity in a young male suffering from schizophrenia. This act of self-mutilation was done to get relief from burning sensation in chest and palpitations. Review of the relevant literature revealed that self-inflicted intra-cardiac needle injuries occur mainly in young and middle-aged adults suffering from psychiatric disorders, commonly depression, schizophrenia, and substance use disorders. In one-fourth of the patients, it is due to deliberate self-harm. About 70% use a single needle but 30% may use multiple needles. Second attempts are rare. Majority of the patients (85%) are managed by surgery and recover from the injury. The condition has a low mortality rate of 5%.


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