Woman accidentally swallows knife – Again
A 30-year-old woman with a history of bulimia presented to the
emergency department after swallowing a knife. She inserted the knife
into the posterior oropharynx to demonstrate to her companions that
she no longer had a gag reflex.
When she unexpectedly laughed, the knife migrated into her esophagus,
causing chest discomfort and hematemesis. Anteroposterior chest and
abdominal radiographs revealed a knife within the distal esophagus and
proximal stomach, without evidence of pneumothorax, pneumomediastinum,
A rigid esophagogastroduodenoscopy was performed to remove the knife.
Her husband later disclosed that 4 years earlier she had swallowed a
knife that required surgical removal with exploratory laparotomy.
Consultation with a psychiatrist was recommended, and the patient was
later transferred to an inpatient psychiatric unit.
Yeah, right. She was transferred so the doctor could explain safer
ways to demonstrate not having a gag reflex.