An unusual and unexpected finding in a case of self-poisoning

A 65 year old man with history of severe depression was admitted for impaired consciousness after having ingested 30 tablets of cyamemazine and venlafaxine. The extra-neurological physical examination and the chest X-ray were normal. The day after, the chest X-ray revealed metal foreign bodies in the colon's left angle and the patient declared having ingested sharp pointed metal tools during the past three days. Abdominal X-ray (Fig. 1) and CT-scan revealed the presence of dozens of metal foreign bodies along the digestive tract, including an extra-digestive needle with an inflammation of the surrounding fat.

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