Tehran University of Medical Sciences Frontiers in Emergency Medicine 2717-3593 5 4 2021 03 16 e46 e46 Hossein Zabihi Mahmoudabadi Department of Surgery, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran Fatemeh Mohammadi School of Medicine, Tehran University of Medical Sciences, Tehran, Iran Maryam Bahreini Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran 2021 02 04 2021 03 07 Introduction: The possibility of foreign body ingestion should be considered in psychiatric patients. In some complicated cases, foreign bodies become problematic and require immediate surgical intervention. Case presentation: A 45-year-old man with schizophrenia swallowed razor blades and pieces of glass resulting in esophageal perforation, pneumothorax, pneumomediastinum and urgent need for surgery. He was presented in shock state but successfully passed post-operative period in the intensive care unit and surgical ward and was ultimately transferred to the psychiatric ward. Conclusion: Management of asymptomatic patients depends on the demographic factors of patients as well as the site affected in the gastrointestinal tract. https://fem.tums.ac.ir/index.php/fem/article/view/665 https://fem.tums.ac.ir/index.php/fem/article/download/665/348