Industrial Psychiatry Journal

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


S Soren1, Surjit1, S Chaudhury2, AK Bakhla3 
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

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%.


How to cite this article:
Soren S, Surjit, Chaudhury S, Bakhla A K. Multiple self-inserted pins and nails in pericardium in a patient of schizophrenia: Case report and review.Ind Psychiatry J 2015;24:82-87


How to cite this URL:
Soren S, Surjit, Chaudhury S, Bakhla A K. Multiple self-inserted pins and nails in pericardium in a patient of schizophrenia: Case report and review. Ind Psychiatry J [serial online] 2015 [cited 2020 Oct 27 ];24:82-87
Available from: https://www.industrialpsychiatry.org/article.asp?issn=0972-6748;year=2015;volume=24;issue=1;spage=82;epage=87;aulast=Soren;type=0