„Patient self-inflicted lung injury“ (P-SILI)

Unusual Self Inflicted Injury in a Patient with SHAFT Syndrome

A 24-year-old man was admitted with pain and swelling in the left forearm. He admitted introducing several long screws in his forearm, manually one by one, the previous night. The shafts of the screws were buried deep into the muscles of the forearm though their heads were still visible from the surface. This patient has been found to exhibit features of SHAFT syndrome on numerous occasions in ...

Pneumocephalus Following Self-Inflicted Penetrating Brain Injury

Objective Pneumocephalus is a rare complication that often occurs after traumatic skull base injury, leading to morbidity and mortality. Material and Method We present the case of a 42-year-old healthy man who injured himself when he stuck a metal stick into his left nasal cavity to relieve prolonged nasal obstruction. Immediate cerebrospinal fluid rhinorrhea and subsequent meningitis and pne...

Delayed Presentation of Submucosal Retained Toothbrush from Self-Inflicted Injury in Patient with Schizophrenia

Foreign body ingestion occurs in not only children but also adults, particularly those with history of neurologic disease, alcohol use, or psychiatric disease. We present the case of a 40-year-old male with schizophrenia who presented to the emergency room with a long history of pharyngeal foreign body sensation which had recently progressed to include trismus, odynophagia, and dyspnea. Flexibl...

Self-inflicted nail-gun injury with intracranial and intracardiac nails

Nail-gun injury is commonly encountered in the emergency department. The severity of the injury depends on the specific injuries to organs and vascular structures. Computed tomography (CT) is the ideal imaging test of choice, as it can identify the more critical injuries that require immediate intervention. We present a case of self-inflicted nail-gun injury with intracranial and intracardiac n...

Self-inflicted orbitocranial injury with a plastic ballpoint pen.