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BMJ Case Rep 2021 Jun 4;14(6). Epub 2021 Jun 4.

Internal Medicine, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA.

Ingestion of food by-products, such as peach pits, chicken bones and fish bones, may lead to intestinal complications. The ingestion of the foreign body is often acute and non-intentional. Acute and life-threatening complications include intestinal perforation or obstruction. Read More

BMJ Case Rep 2021 May 24;14(5). Epub 2021 May 24.

Anesthesia, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Rectal foreign bodies are not uncommon and often pose a serious challenge to surgeons. In majority, the objects are inserted by self in children, psychiatric patients and for sexual gratification in adults. Various rectal foreign bodies have been reported. Read More

BMJ Case Rep 2021 May 24;14(5). Epub 2021 May 24.

Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

A 62-year-old man was referred to the emergency department with retrosternal chest pain for 4 days. Coronary angiogram and ECG showed no occlusion of coronary vessels. Contrast-enhanced CT of thorax showed b/l pleural effusion, pneumomediastinum, right hydropneumothorax, with the underlying collapse of lungs and intercostal drainage tube in situ. Read More

Khirurgiia (Mosk) 2021 (6):38-44

State Novosibirsk Regional Clinical Hospital, Novosibirsk, Russia.

Objective: To evaluate the results of diagnosis and treatment of foreign bodies of the upper gastrointestinal tract.

Material And Methods: There were 1187 patients aged 15-99 years with suspected foreign body of the upper gastrointestinal tract. In 536 patients (266 men, 270 women), foreign bodies were detected. Read More

IDCases 2021 12;24:e01159. Epub 2021 May 12.

Centro Hospitalar Universitário do Porto EPE, Internal Medicine Department, Alameda Prof. Hernâni Monteiro, Porto, PT 4200-319, Portugal.

A 70-year-old woman presented to the emergency department with a 3-week history of prolonged fever, asthenia and anorexia, denying other symptoms. Physical examination was unremarkable and the patient admitted for further investigation. Initial laboratory testing showed leucocytosis, elevated C-reactive protein and cholestasis, without hyperbilirubinemia or cytolysis. Read More

Ann Med Surg (Lond) 2021 May 27;65:102348. Epub 2021 Apr 27.

Department of General Surgery, University Hospital Centre Ibn Rochd, Casablanca, Morocco.

Introduction: Fish bone is one of the most common accidently ingested foreign bodies. Normally, it is eliminated from the gastrointestinal (GI) system without any symptomatology, only 1% of the cases will develop a perforation of the GI tract requiring surgical intervention.

Presentation Of Case: A 70-year-old man, presented with a 48h evolving abdominal pain, important abdominal distension, nausea, vomiting, and a last bowel movement reported 2 days ago, The abdomino-pelvic CT-scan objectified a distension of the terminal ileum measured at 30mm, The exploration revealed a sharp foreign body,at the 15 proximal centimeters of the terminal ileum, which penetrated through the wall of the ileum. Read More

J Emerg Trauma Shock 2021 Jan-Mar;14(1):28-32. Epub 2021 Mar 23.

Department of Emergency Medicine, Southside Hospital, Bay Shore, New York, USA.

Objectives: Patients come to the emergency department (ED) for the evaluation of foreign-body sensation in the neck. Given the dearth of clinical studies for this complaint, these patients are treated subjectively by different providers. We aim to propose a treatment approach that results in the timely diagnosis and removal of foreign bodies by comparing the common radiologic studies used in the ED for this complaint, determining the utility of consults, and providing an approach that minimizes length of stay. Read More

Pan Afr Med J 2021 21;38:71. Epub 2021 Jan 21.

Service de la Radiologie Pédiatrique, Hôpital d'Enfants Abderrahim Harouchi, Casablanca, Maroc.

Gastrointestinal (GI) bezoars are aggregates of undigested material found in the GI tract. Trichobezoar is the most common type of bezoars and consists of ingested hair, carpet fibers or fitted carpet fibers. They are mainly located in the gastric region, rare forms extend to the duodenum or small intestine and are described as Rapunzel syndrome. Read More

Int J Surg Case Rep 2021 Apr 26;81:105808. Epub 2021 Mar 26.

Departments of Surgery and Health Policy, Mount Sinai Hospital, 1468 Madison Ave, New York, NY 10029, USA. Electronic address:

Introduction: Foreign body ingestion is an uncommon clinical problem in healthy adults. Furthermore, it is even less common for an ingested foreign body to cause any obstructive symptoms within the gastrointestinal tract.

Presentation Of Case: Here, we describe an unusual case of acute appendicitis induced by a tongue piercing that was ingested by a 32-year-old woman with a recent history of endotracheal intubation. Read More

BMC Pediatr 2021 04 17;21(1):179. Epub 2021 Apr 17.

Department of Gastroenterology, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.

Background: The aim of this study was to characterize patients who ingested multiple rare-earth magnets, reveal the harm of rare-earth magnet foreign bodies in the digestive tract, and develop a clinical management algorithm.

Methods: This was a retrospective review of patients with rare-earth magnet foreign bodies in the digestive tract admitted to a university-affiliated pediatric medical center in China, between January 2016 and December 2019; the subset of medical data evaluated included clinical symptoms, signs, treatments and outcomes.

Results: A total of 51 cases were included in this study, including 36(70. Read More

Case Rep Surg 2021 29;2021:8877671. Epub 2021 Mar 29.

Kuwait University, Kuwait.

Background: Foreign body ingestion is very common among specific groups, especially children. However, appendicitis and perforated appendix caused by a foreign body is rare. . Read More

Wiad Lek 2021 ;74(1):128-131

NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY, VINNYTSIA, UKRAINE.

Objective: The aim: Is to determine the tactics and methods of treatment of bezoars of the gastrointestinal tract.

Patients And Methods: Materials and methods: From 2001 to 2019, 17 patients were diagnosed with "bezoar".

Results: Results: Due to the "weariness" of the clinic, the diagnosis was made in the first 3 days only for 3 (17,6 %) patients. Read More

Surg Case Rep 2021 Apr 13;7(1):91. Epub 2021 Apr 13.

Hepatic Biliary and Pancreatic Cancer Center, Chongqing University Cancer Hospital, No. 181 Hanyu Road, Shapingba, Chongqing, 400030, People's Republic of China.

Background: The majority of ingested foreign bodies pass through the gastrointestinal tract smoothly, with less than 1% requiring surgery. Fish bone could perforate through the wall of stomach or duodenum and then migrate to other surrounding organs, like the pancreas and liver.

Case Presentation: We report herein the case of a 67-year-old male who presented with sustained mild epigastric pain. Read More

BMJ Case Rep 2021 Apr 1;14(4). Epub 2021 Apr 1.

General Surgery, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK.

We report the case of a 48-year-old man with spina bifida and history of previous ventriculoperitoneal (VP) shunt placement for hydrocephalus. On attempted removal of the shunt 2 years prior to presentation at a neurosurgical unit, the peritoneal component was left in situ due to difficulties with removal. He presented acutely to our general surgical department with an enterocutaneous fistula precipitated by the retained fragment discharging to the right upper abdominal quadrant that required urgent surgical intervention. Read More

Int J Surg Case Rep 2021 Apr 24;81:105700. Epub 2021 Feb 24.

Gastrointestinal Surgical Center, Mansoura University, Egypt. Electronic address:

Introduction And Importance: The management of retained gunshot injury in the liver is not properly discussed in the literature.

Case Presentation: We describe a rare case of intrahepatic retained foreign body (bullet). Our patient is a 39-year old Yemeni soldier, who was exposed to firearm injury 10 months previously. Read More

Cureus 2021 Feb 17;13(2):e13403. Epub 2021 Feb 17.

General Surgery, Rockhampton Hospital, Rockhampton, AUS.

A 68-year-old man presented to the hospital with severe right upper abdominal pain, fevers, nausea and lethargy. He deteriorated into septic shock and was found to have a hepatic abscess on computer tomography imaging. After multiple investigations and continual deterioration, he underwent an exploratory laparoscopy which revealed a chicken bone within the liver parenchyma resulting in a large hepatic abscess. Read More

BMJ Case Rep 2021 Mar 23;14(3). Epub 2021 Mar 23.

Department of Otolaryngology, Norfolk and Norwich University Hospital NHS Trust, Norwich, UK.

BMJ Case Rep 2021 Mar 10;14(3). Epub 2021 Mar 10.

Department of Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.

Accidental ingestion of a grill brush wire bristle is a rare event. Retrieval rarely requires surgical intervention as the wire typically causes symptoms above the gastro-oesophageal junction and can frequently be removed endoscopically. There are few reported cases of gastrointestinal injury due to ingestion of wire bristles lodging past the gastro-oesophageal junction in adults. Read More

Am J Case Rep 2021 Feb 24;22:e929731. Epub 2021 Feb 24.

Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.

BACKGROUND Foreign bodies (FBs) in the intra- or extra-peritoneal cavity are relatively rare. The aim of treatment is to remove the FB to prevent chronic inflammation and/or infection. Traditionally, surgical management is necessary, as the detection and localization of FBs can be difficult. Read More

BMC Gastroenterol 2021 Feb 23;21(1):82. Epub 2021 Feb 23.

Department of Gastrointestinal Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, 563003, Guizhou, P.R. China.

Background: Migration of fish bones into abdominal para-aortic tissue after penetrating the junction of 3rd and 4th part of duodenum is incredibly rare.

Case Presentation: A 68-year-old man was admitted to our hospital with persistent colic in the lower abdomen after eating fish two weeks ago. Abdominal computed tomography (CT) scan showed High density streaks along the anterior and lower edges of the 3rd part of duodenum with peripheral exudation and localized peritonitis. Read More

BMJ Case Rep 2021 Feb 17;14(2). Epub 2021 Feb 17.

General and Colorectal Surgery, Pilgrim Hospital, Boston, Lincolnshire, UK.

A 61-year-old woman was seen by the emergency general surgical team with a 2-week history of right iliac fossa pain. Imaging revealed the possibility of a distal ileum perforating foreign body. Using a single incision laparoscopy surgery (SILS) approach, this diagnosis was confirmed at operation. Read More

Surg Case Rep 2021 Feb 17;7(1):51. Epub 2021 Feb 17.

Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.

Background: Intrapelvic aberrant needles are rare in clinical practice. Long-term foreign bodies in the abdominal cavity may form granulation tissue or an abscess, and may cause organ injury. Therefore, such foreign bodies need prompt removal. Read More

Kathmandu Univ Med J (KUMJ) 2020 Apr-Jun;18(70):139-143

Department of Internal Medicine, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.

Background Ingested foreign body impaction on upper gastrointestinal tract is common incidence among children, older age group, mentally challenged individuals, and people the influence of alcohol. In most cases, the foreign bodies pass spontaneously and uneventfully but when this does not occur; endoscopic management to ensure removal under direct visualization is required. Relief upon removal of foreign body and prevention of complications is essential. Read More

BMJ Case Rep 2021 Feb 9;14(2). Epub 2021 Feb 9.

General Surgery, Queen's Medical Centre Nottingham University Hospital NHS Trust, Nottingham, UK.

Rapunzel syndrome is rare and describes a trichobezoar that extends through the pylorus into the jejunum, ileum or even the colon. Due to the large intraluminal size and weight they can attain, acute presentations of obstruction or perforation may occur. We report a case of a 17-year-old girl who presented to the emergency department following a syncopal episode. Read More

Radiologia (Engl Ed) 2021 Mar-Apr;63(2):193-205. Epub 2021 Feb 4.

Departamento de Anatomía Patológica, Facultad de Medicina, Universidad de Valencia, Valencia, España.

Acute abdomen is a common reason for consultation in the emergency department. A broad spectrum of entities, including diverse diseases of the gastrointestinal tract, can cause acute abdomen. Although computed tomography is the technique most widely used to evaluate acute abdomen in the emergency department, abdominal ultrasound is often performed first and allows bowel disease to be suspected. Read More

Vet Radiol Ultrasound 2021 May 28;62(3):282-288. Epub 2021 Jan 28.

Department of Radiology, Louisiana State University School of Veterinary Medicine, Baton Rouge, Louisiana, USA.

Mechanical obstruction is a common cause of acute vomiting among small animals and radiography is the first line diagnostic tool. Due to many circumstances, surgery may not be an immediate treatment option. The purpose of this retrospective, cross-sectional design study is to determine the incidence of radiographic resolution of mechanical obstruction or gastrointestinal foreign material with medical management. Read More

J Int Med Res 2021 Jan;49(1):300060520982697

Department of Gastrointestinal Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

The entry of multiple broken scalpel blades into the gastrointestinal tract with involvement of the stomach, ileum, and colon is rare; no such cases have been reported to date. Whether management of multiple sharp foreign bodies is more effective by endoscopy or surgery remains controversial in clinical practice. We herein describe a 23-year-old man with depression who was admitted to our department 36 hours after swallowing multiple scalpel blades. Read More

Cureus 2021 Jan 9;13(1):e12597. Epub 2021 Jan 9.

Department of General Surgery, Security Forces Hospital, Dammam, SAU.

Ingestion of foreign bodies is common within the pediatric population; in adults, it occurs more commonly in those with a psychiatric background. Diagnosis of such cases can be readily made based on plain abdominal X-rays. As reported, many foreign bodies pass through the gastrointestinal tract without complications, obstruction, bleeding, and perforation. Read More

Clin Exp Emerg Med 2020 Dec 31;7(4):330-333. Epub 2020 Dec 31.

Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea.

A previously healthy 12-month-old girl presented to the emergency department with vomiting of water beads (superabsorbent polymer). The girl did not have clinical or radiographic signs of residual foreign bodies or intestinal obstruction. Point-of-care ultrasound showed well-demarcated, round, and hypoechoic materials in the stomach and first part of the duodenum, indicating ingested beads. Read More

Dig Dis Sci 2021 Apr 11;66(4):983-987. Epub 2021 Jan 11.

IRCCS Azienda Ospedaliero-Universitaria di Bologna, Via Albertoni 15, Bologna, Italy.

Removal of foreign bodies from the upper gastrointestinal tract, though a common occurrence, can be technically challenging and risky. We report the case of a young man that, after eating a pizza cooked in a wood-burning oven, reported a sense of foreign body. Though the first evaluation by fiberoptic laryngoscopy found no foreign body, after a few weeks, the patient was readmitted from the ER for worsening symptoms and fever. Read More