title: Suicide attempt by swallowing sponge or pica disorder: a case report.
abstract: BACKGROUND
  There are many ways how children with mental illness have actually tried to hurt themselves. Suicidal thinking or attempts always indicate that professional help is needed (2). Every object which can be potential dangerous should be removed but this is very difficult to do. Some of children with these symptoms had Pica diseases. Pica is a medical disorder characterized by an appetite for substances largely non-nutritive (e.g. metal, coal, soil, feces, paper, soap, gum, etc.) or an abnormal appetite for some things that may be considered foods.
  
  
  METHODS
  The patient swallow sponge from a pillow over a long period of time and she came into our hospital with abdominal pain. She was 16 years old and had abdominal distension, vomiting, abdominal cramping and failure to pass gas or stool. Immediately we suspected mechanical blockade of the intestine. Diagnosis was clinically confirmed by X-rays of the abdomen and with ultrasound.
  
  
  RESULTS
  The operative treatment was indicated and we found the proximal bowel distended and the distal segment collapsed. The part of bowel necrosis was removed and anastomosis was done.
  
  
  CONCLUSIONS
  When patients are determined to attempt suicide or have Pica disorder it is very difficult to prevent.
authors.affiliation: Pfizer d.o.o., Radnicka cesta 80, Zagreb, Croatia.
authors.forename: Vlasta
authors.initials: V
authors.lastname: Zganjer
authors.forename: Mirko
authors.initials: M
authors.lastname: Zganjer
authors.forename: Ante
authors.initials: A
authors.lastname: Cizmić
authors.forename: Anto
authors.initials: A
authors.lastname: Pajid
authors.forename: Bozidar
authors.initials: B
authors.lastname: Zupancić
mesh_terms: D000293:Adolescent; D005260:Female; D005547:Foreign Bodies / Q000150:complications*; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology*; D010842:Pica / Q000150:complications*; D013406:Suicide, Attempted