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Int J Surg Case Rep 2020 Jun 12;72:423-425. Epub 2020 Jun 12.

Department of Otorhinolaryngology, Muhimbili University of Health and Allied Sciences, Box 65001, Dar es Salaam, Tanzania.

Introduction: Aspirated foreign bodies continue to pose challenges to Otorhinolaryngologists and are potentially life threatening thus an otorhinolaryngological emergency. The main stay of treatment of foreign bodies (FBs) in the tracheobronchial tree remains to be bronchoscopy while bearing in mind earlier and safer removal of such foreign bodies. Spontaneous expulsion of an Intrabronchial foreign body is a rare entity with few cases reported in the available literatures. Read More

Case Rep Oncol Med 2020 9;2020:3738798. Epub 2020 May 9.

Department of Radiology, Moffitt Cancer Center, Tampa, Florida, USA.

In cancer care, tissue seeding after curative resections is a known potential complication, despite precautions taken during surgical treatment. We present an uncommon case of an abdominal wall metastasis along the tract of a surgical drain following gastrectomy for gastric adenocarcinoma. To our knowledge, this is the first case of such an occurrence in the setting of a negative staging peritoneal lavage. Read More

BMC Surg 2020 Jun 5;20(1):121. Epub 2020 Jun 5.

Department of Gastroenterological surgery, Osaka City University Graduate School of Medicine, 1-5-7 asahimachi, abeno-ku, osaka-shi, Osaka-fu, 545-8586, Japan.

Background: Liver abscess due to gastrointestinal perforation by foreign bodies is rare. Furthermore, there are few case reports of liver abscess via the portal vein caused by perforation of the lower gastrointestinal tract by a foreign body.

Case Presentation: A 54-year-old man visited our hospital because of a fever that had lasted for 1 month. Read More

Clin Imaging 2020 Aug 13;64:103-118. Epub 2020 Mar 13.

University of Maryland Medical Center, Department of Diagnostic Radiology and Nuclear Medicine, 22 South Greene Street, Baltimore, MD 21201, United States.

Ultrasonography is an essential tool in pediatric imaging, particularly in the emergency setting. Although ultrasound is often the favored initial modality for abdominal imaging in children, it is highly operator-dependent and therefore prone to misinterpretation which can lead to false positive or negative exams, or even incorrect diagnoses. Conditions discussed in this series include ileocolic intussusception, hypertrophic pyloric stenosis, appendicitis, and ingested foreign bodies. Read More

Ann Ital Chir 2020 May 11;9. Epub 2020 May 11.

Background And Aim: Foreign bodies that are ingested and will not pass spontaneously through the gastrointestinal tract, need to be removed either endoscopically or surgically. Surgery will be required when endoscopy alone fails to retrieve the foreign body. In this study, we aimed to present our experience with an combined minimal invasive approach for the removal of a gastric foreign body and to review the medical literature on the complexities related to its management. Read More

Vet Radiol Ultrasound 2020 Apr 30. Epub 2020 Apr 30.

RadioLogic, Veterinary Diagnostic Imaging Services, LLC, Media, Pennsylvania.

Abdominal radiographs are commonly used in dogs and cats that present with gastrointestinal signs. When initial abdominal radiographs are equivocal for the presence or absence of gastrointestinal mechanical obstruction, follow-up abdominal radiographs may be recommended. Based on our review of the literature, no published study has been performed to evaluate the clinical utility of serial abdominal radiographs in such cases. Read More

J Emerg Med 2020 Apr 18. Epub 2020 Apr 18.

Department of Emergency Medicine, Hospital for Sick Children, Toronto, Ontario, Canada; University of Toronto Department of Pediatrics, Toronto, Ontario, Canada.

Background: Injuries from multiple magnet ingestions in the pediatric population have been increasing in both incidence and morbidity. This trend will likely continue after a 2017 court ruling that overturned a ban on the sale of magnet sets marketed as "adult desk toys." Depending on the arrangement of the ingested magnets in the gastrointestinal tract, the consequences can range from benign to life threatening. Read More

Case Rep Surg 2020 1;2020:3930905. Epub 2020 Apr 1.

A.M. Rywlin, MD Department of Pathology, Mount Sinai Medical Center, Miami Beach, FL, USA.

Ingestion of a foreign body is commonly encountered in clinical practice, but most cause no complications, passing spontaneously through the gastrointestinal tract. However, they can cause obstructive signs and symptoms, and surgical intervention for extraction of the foreign body may be required after identifying its location. We present here the case of a 49-year-old woman who presented to our emergency room with abdominal pain localizing to the right lower quadrant. Read More

Ann Med Surg (Lond) 2020 May 1;53:20-22. Epub 2020 Apr 1.

Department of Surgery, San Salvatore Hospital. Department of Biotechnological and Applied Clinical Sciences, University of L'Aquila, Italy.

Ingested toothpicks are a relatively rare event, but they may cause serious gut injuries and can be listed among rare causes of perforation, peritonitis, sepsis or death. Unless the foreign bodies were intentionally swallowed, many patients who ingested them fail to remember the event and they do not refer it during the medical history collection; this makes diagnosis problematic. In this work, a case of perforation of the sigmoid colon is described, caused by a toothpick ingestion. Read More

Medicine (Baltimore) 2020 Apr;99(15):e19508

Department of General Surgery, Dongfang Hospital, Xiamen University.

Introduction: Gastrointestinal perforation due to foreign body intake is rare and often secondary to unintentional intake; hence, a misdiagnosis is likely. Herein, we report a case of perforation of the ileum due to fish bone.

Case Presentation: A 57-year-old woman presented with right lower abdominal pain. Read More

BMC Gastroenterol 2020 Apr 6;20(1):90. Epub 2020 Apr 6.

Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.

Backgrounds: Previous reports of foreign-body ingestion focused primarily on accidental ingestion and very few studies focused on intentional ingestion of foreign body (FB) in China. Our study aimed to compare the prevalence of different age, gender, types, locations and management of FB ingested between intentional ingestion and accidental ingestion of FB in Northern China.

Methods: A retrospective case series studied all patients with suspected FB ingestion in Digestive Endoscopy Center of Beijing Friendship Hospital, between January 2011 and January 2019. Read More

Korean J Gastroenterol 2020 Mar;75(3):157-161

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.

Phlegmonous gastritis is a disease caused by a bacterial infection of the gastric wall. This condition is rare, but when it does occur, its prognosis appears to be poor. The underlying etiology is largely unknown, but an immunocompromised state is considered an important risk factor. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Mar;23(3):211-216

Department of Gastrointestinal Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China.

Corona virus disease 2019 (COVID-19) is currently raging in China. It has been proven that COVID-19 can be transmitted from human to human and cause hospital infection, which seriously threatens surgical staffs and inpatients. Although colorectal surgery is not a front-line subject in the fight against the epidemic, but in this special situation, it is a difficult task to provide the highest quality medical services and ensure the orderly clinical work, on the premise of maximizing the protection for patients and their families, health of medical staff, and the safety of wards and hospitals, We summarize how to carry out the clinical practice of colorectal surgery under the situation of the prevention and control of the COVID-19 epidemiology, including the procedures of diagnose and treatment for emergency patients with colorectal tumor, and share the experiences of the diagnosis of colorectal tumor, the management of patients with colorectal cancer who are scheduled to be admitted for surgery, the protection of wards, the perioperative management. Read More

Cureus 2020 Feb 12;12(2):e6971. Epub 2020 Feb 12.

Gastroenterology, Lagos University Teaching Hospital, Lagos, NGA.

A 68-year-old woman presented with a three-week history of upper abdominal discomfort, vomiting of coffee ground substance, and passage of tarry stools. There were no typical risk factors for gastroduodenal or liver disease. Gastroscopy done showed a fishbone impacted in the wall of the pyloric opening with its free end abutting on the wall of the duodenum resulting in a duodenal ulcer. Read More

Ulus Travma Acil Cerrahi Derg 2020 Mar;26(2):247-254

Department of Pediatric Surgery, Başkent University Faculty of Medicine, Adana-Turkey.

Background: Foreign body (FB) ingestion is frequently encountered in all departments that treat children. FB may bring about significant anxiety for parents and physicians. The present study aims to determine the appropriate approach for FB ingestion in children. Read More

Am Surg 2020 Feb;86(2):110-115

From the *Department of Hernia and Abdominal Wall Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

Several randomized trials comparing self-gripping mesh with polypropylene (PL) mesh in Lichtenstein hernioplasty revealed that the self-gripping mesh significantly reduced the operation time. In these studies, some enrolled only male patients, and in others, the proportion of women was extremely low. The aim of this research was to compare outcomes after self-gripping mesh repair with PL mesh secured with sutures in female Lichtenstein hernioplasty. Read More

J Indian Assoc Pediatr Surg 2020 Mar-Apr;25(2):103-105. Epub 2020 Jan 28.

Department of Paediatric Surgery, IGICH, Bengaluru, Karnataka, India.

Bezoar is defined as the accumulation of undigested foreign bodies or nutrients in the gastrointestinal tract. Lithobezoar, the accumulation of stones in the digestive tract, is commonly seen in the stomach. We report a case of giant colonic lithobezoar in a child. Read More

BMC Pediatr 2020 Feb 28;20(1):95. Epub 2020 Feb 28.

Department of General Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No.56 Nanlishi St, Xicheng District, Beijing, 100045, China.

Purpose: To describe the incidence and management of gastrointestinal tract Buckyball magnets ingestions in a multicenter Chinese pediatric patient population, and discuss the preventive measures.

Methods: Medical records of 74 pediatric patients from 9 large Chinese hospitals during the past 10 years, who were diagnosed as buckyball magnets ingestion and got invasive treatment, were retrospectively studied. The follow-up was through telephone and outpatient service to estimate the post-surgery condition. Read More

Zhonghua Wei Chang Wai Ke Za Zhi 2020 Feb 22;23(3):E003. Epub 2020 Feb 22.

Department of Gastrointestinal Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China.

Novel coronavirus pneumonia (NCP) is currently raging in China. It has been proven that NCP can be transmitted from human to human and cause hospital infection, which seriously threatens surgical staffs and inpatients. Although colorectal surgery is not a front-line subject in the fight against the epidemic, but in this special situation, now it is a difficult task that with the premise of how to maximize the protection for patients and their families, health of medical staff, and the safety of wards and hospitals, we can provide the highest quality medical services to ensure the orderly development of previous clinical work. Read More

Medicine (Baltimore) 2020 Feb;99(8):e19343

Department of Internal Medicine, Digestive and Liver Disease Center, Tokai University Tokyo Hospital, Tokyo.

Rationale: Foreign body (FB) ingestion is a relatively common clinical situation in the emergency department. However, multiple sharply pointed foreign bodies located in different organs are rare conditions and no definite treatment guidelines has been established.

Patient Concerns: A 31-year-old amateur magician visited the outpatient clinic with a chief complaint of epigastric discomfort. Read More

Am J Surg 2020 05 30;219(5):810-812. Epub 2020 Jan 30.

Department of Surgery, University of British Columbia, Island Medical Program, Victoria, British Columbia, Canada.

Background: Trichobezoars are foreign bodies in the gastrointestinal tract composed of ingested hair. These can develop into large, hard, obstructing objects that are often impossible to remove endoscopically. The size often leads surgeons to remove these via laparotomy or laparoscopic-assisted procedure (midline laparotomy for specimen removal), with few removed completely laparoscopically. Read More

Z Gastroenterol 2020 Mar 4;58(3):217-223. Epub 2020 Feb 4.

University of Maribor, Faculty of Medicine, Maribor, Slovenia.

Aim:  The aim of our study was to determine the frequency of patients with "true foreign bodies" in the upper gastrointestinal tract and to evaluate the success of urgent endoscopic procedures in removing these objects.

Materials And Methods:  The retrospective study includes patients in which urgent endoscopic investigations of the upper digestive tract were performed in a 23-year period, from 1 January 1994 to 1st January 2018.

Results:  Altogether 13 196 patients were investigated: 5147 (39 %) females and 8049 (61 %) males, mean age 62. Read More

G Chir 2019 Jul-Aug;40(4):330-333

We present a case where a toothpick perforation in both the large and small bowel was intra-operatively diagnosed. A 45-years-old man presented with 48 hours abdominal pain associated with fever. The abdomen was tender at the McBurney point with signs of localized peritonitis. Read More

World J Gastrointest Endosc 2020 Jan;12(1):33-41

Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo 160-8582, Japan.

Background: The ingestion of foreign bodies (FBs) and food bolus impaction (FBI) in the digestive tract are commonly encountered clinical problems. Methods to handle such problems continue to evolve offering advantages, such as the avoidance of surgery, reduced cost, improved visualization, reduced morbidity, and high removal success rate. However, to date, no studies have evaluated the endoscopic management of FBs in Japan. Read More

Dig Dis Sci 2020 Jan 6. Epub 2020 Jan 6.

Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, 630 West 168th St, New York, NY, 10032, USA.

Background: As foreign body ingestion/food impaction is one of the less common indications for upper endoscopy in adults, few studies have investigated outcomes. We aimed to determine the distribution of ingested items warranting endoscopy and to identify factors associated with successful endoscopic retrieval.

Methods: We conducted a retrospective, cross-sectional study, identifying all endoscopies performed between June 2006 and June 2018 for foreign body ingestion or food impaction. Read More

Am J Case Rep 2019 Dec 22;20:1920-1922. Epub 2019 Dec 22.

Department of Emergency Medicine, Mayo Clinic, Jacksonville, FL, USA.

BACKGROUND Indigestible foreign material in the bowel can develop into bezoars. Intestinal obstruction can occur secondary to these bezoars. Phytobezoars specifically refer to those which accumulate as a result of undigested plant or other food material. Read More

BMC Gastroenterol 2019 Dec 21;19(1):224. Epub 2019 Dec 21.

Department of Gastrointestinal Surgery, First Hospital of Jilin University, Changchun, 130021, Jilin, China.

Background: Various types of medical glues/adhesives/topical coagulants' (referred to as MG hereinafter) have widespread application as surgical adhesives, and have been shown to be safe and effective for a broad range of usage, such as in hemostasis, reinforcement of intestinal anastomoses or sites of potential fluid leakage, adhesion of two surfaces, wound closure, and vascular embolization. However, inappropriate application of MG may sometimes lead to serious complications. Herein, we describe three cases of serious postoperative complications induced by a possible inappropriate use of N-butyl-2-cyanoacrylate MG (NBCA MG). Read More

Medicine (Baltimore) 2019 Dec;98(50):e18373

Department of General Surgery, Suzhou Ninth People's Hospital, Suzhou, China.

Rationale: Foreign body ingestion is a common clinical event, but serious complication such as perforation is uncommon. Here we present a case of gastrointestinal perforation caused by fish bone, which was treated effectively and successfully by totally laparoscopic management.

Patient Concerns: A 63-year-old man who was admitted to our hospital with epigastric pain for 1 month. Read More

Medicine (Baltimore) 2019 Dec;98(50):e18111

Department of Radiology, University Hospital Centre Split, Split, Croatia.

Rationale: Large bowel perforations by a foreign body are rarely diagnosed pre-operatively due to non-specific clinical symptoms. The safety and efficacy of foreign body removal via upper endoscopy is well-established and strongly recommended. There is far less experience of endoscopic treatment of sharp foreign bodies impacted in lower parts of gastrointestinal tract. Read More

World J Gastrointest Endosc 2019 Dec;11(12):548-560

Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Endoscopic treatment of gastrointestinal diseases has developed rapidly in recent years, due to its minimally invasive nature. One of the main contributing factors for this progress is the improvement of endoscopic instruments, which are essential for facilitating safe and effective endoscopic interventions. However, the slow learning curve required in the implementation of many advanced endoscopic procedures using standard devices is associated with a high risk of complications. Read More

World J Clin Cases 2019 Dec;7(23):4130-4136

Department of Otorhinolaryngology Head and Neck, First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China.

Background: Herein, we report a case in whom two foreign bodies entered the upper mediastinal cavity from the cervical root and subsequently the esophagus. Surgery is the preferred treatment method, and operational procedures depend on the size and location of the foreign body relative to the mediastinal vessels. Rigid esophagoscopy combined with angle endoscopic surgery was selected to avoid surgical trauma and complications. Read More

BMC Urol 2019 Dec 9;19(1):128. Epub 2019 Dec 9.

Department of Translational Research and New Technologies in Medicine and Surgery, Sections of Urology, University of Pisa, via Paradisa 2, 56126, Pisa, Italy.

Background: The angiogenesis inhibitor monoclonal antibody Bevacizumab is presently the standard treatment for numerous neoplasms but particular toxicities are emerging, such as hypertension, haemorrhage, thromboembolism, gastrointestinal perforation, fistulae, and delayed wound healing. The addition of Bevacizumab to radio and chemotherapy has improved the overall survival rate in patients with metastatic, persistent or recurrent cervical carcinoma. However an increased risk of enteric or urinary fistula formation has been documented, related to hypoxia which is induced by the inhibition of angiogenesis. Read More

BMJ Case Rep 2019 Dec 3;12(12). Epub 2019 Dec 3.

General Surgery, Salmaniya Medical Complex, Manama, Bahrain.

This is a case of a 14-year-old woman diagnosed with acute pancreatitis based on history and laboratory investigations. CT scan confirmed the diagnosis of acute pancreatitis along with the presence of two bezoars in the stomach and proximal jejunum. Gastroscopy showed a large trichobezoar with difficult endoscopic extraction. Read More

Indian J Gastroenterol 2019 10;38(5):462-464

Department of Clinical Sciences, Universidad Tecnológica de Pereira, Pereira, Colombia.

Zhonghua Wei Chang Wai Ke Za Zhi 2019 11;22(11):1078-1081

Int J Surg Case Rep 2019 15;65:305-308. Epub 2019 Nov 15.

General Surgery, Bunbury Regional Hospital, Western Australia, Australia. Electronic address:

Introduction: Ingested foreign bodies (IFB) can uncommonly cause perforation of the gastrointestinal tract. The traditional management is surgical exploration via laparotomy or laparoscopy, although endoscopic options are now gaining prominence.

Presentation Of Case: We present two patients with almost identical clinical presentations of post-prandial abdominal pain and anorexia. Read More

J Dig Dis 2020 Jan 25;21(1):20-28. Epub 2019 Dec 25.

Department of Gastroenterology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.

Objective: To investigate the effectiveness and safety of transparent cap-assisted endoscopy in removing foreign bodies in the esophagus.

Methods: Patients with foreign body lodged in the esophagus who received a transparent cap-assisted or conventional endoscopy between October 2004 and July 2018 were retrospectively enrolled. Propensity score matching was performed. Read More

Pediatr Emerg Care 2019 Nov;35(11):807-810

From the Department of Emergency Medicine.

The ingestion of foreign bodies is a common problem in the pediatric population. Emergent treatment of ingested foreign bodies is dependent on the type of foreign body ingested, patient symptoms, timing of ingestion, and the location of the foreign body. Although X-ray and computed tomography are the imaging techniques used most often to assess for foreign bodies, ultrasonography, which lacks ionizing radiation, may also be useful. Read More

BMC Surg 2019 Oct 29;19(1):159. Epub 2019 Oct 29.

Department of Gastrointestinal Surgery, Second Affiliated Hospital of Kunming Medical University, 374 Dianmian Road, Kunming, 650101, Yunnan Province, China.

Background: Inferior epigastric vascular anatomical landmarks for anterior inguinal hernia repair is an alternative surgical procedure. We present our experience and outcome of the way.

Methods: We performed a retrospective analysis of 230 patients who received anterior tension-free hernia repair between May 2016 to May 2017. Read More

Acta Medica (Hradec Kralove) 2019 ;62(3):85-93

Laboratory of Forensic Sciences, Democritus University of Thrace, School of Medicine, GR 68100 Dragana, Alexandroupolis, Greece.

The aim of this paper is to update and summarize the relevant literature on the anatomical localization, incidence, and diagnostic and therapeutic approaches to abdominal foreign bodies. A comprehensive review was carried out on recorded cases related to the presence of foreign bodies in the abdominal area throughout the literature. Moreover, the phenomenon was discussed in relation to different patient categories associated with childhood, mental or neurological illness, incarceration, and drug trafficking as well as sexual accident or abuse. Read More

Med J Aust 2019 11 29;211(10):451-451.e1. Epub 2019 Oct 29.

Royal Darwin Hospital, Darwin, NT.

J Feline Med Surg 2019 11;21(11):1047-1060

Radiology Department, Willows Veterinary Centre and Referral Service, Highlands Road, Shirley, Solihull B90 4NH, UK.

Practical Relevance: Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. B-mode ultrasonography is likely the most widely used modality for imaging the gastrointestinal (GI) tract in cats and it can help in the diagnosis of GI masses, foreign bodies and disorders of the ileocaecocolic junction.

Clinical Challenges: Despite ultrasonography being a commonly used modality, many practitioners are not comfortable performing an ultrasound examination or interpreting the resulting images. Read More

J Asthma 2019 Nov 4:1-5. Epub 2019 Nov 4.

Department of Paediatrics, Allergology and Gastroenterology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.

Chronic cough is a common problem faced by pediatricians, with a reported prevalence of 20% among preschoolers. It is also the most frequent symptom of asthma. Many causes of chronic cough may also be possible causes of asthma exacerbations. Read More

Tech Vasc Interv Radiol 2019 Sep 2;22(3):149-153. Epub 2019 May 2.

Department of Radiology, Division of Vascular and Interventional Radiology, UCLA Medical Center, Los Angeles, CA.

Image-guided retrieval of endovascular devices such as inferior vena cava filters, guidewires, and stents is well reported, though there is a paucity of published reports on biliary, genitourinary, or gastrointestinal foreign body retrieval utilizing percutaneous endoscopy, particularly when it is performed solely by interventional radiologists. In cases of failed traditional endoscopic techniques or to evade more invasive surgical options, percutaneous endoscopy can be an adjunctive tool employed by interventional radiologists to extract foreign bodies. In this article, clinical evaluation, perioperative management, and procedural techniques for biliary, genitourinary, and gastrointestinal endoscopy for foreign body retrieval are reviewed. Read More

Orv Hetil 2019 Oct;160(42):1677-1681

I. Sebészeti Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Üllői út 78., 1082.

Migration of swallowed foreign bodies from the gastrointestinal tract is a rare phenomenon compared with the total number of ingestions. In the reported two cases, the serious septic condition indicated urgent surgical intervention. We found a piece of wire swallowed a few months earlier in the right lobe of the liver and the retroperitoneum in case one, and a piece of wire in the pericardium, which migrated from the stomach through the left lobe of the liver, in case two. Read More

Dig Endosc 2019 Nov 2;31(6):e111-e112. Epub 2019 Oct 2.

Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan.

J Gastrointestin Liver Dis 2019 Sep 1;28(3):355-358. Epub 2019 Sep 1.

General Surgery Department, Colțea Clinical Hospital, Bucharest, Romania; Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Gallbladder inflammation is most often determined by the presence of gallstones. Acalculous cholecystitis usually occurs in patients with multiple comorbidities or with an immunosuppressed status, and therefore its evolution is faster and more severe compared to acute calculous cholecystitis. The presence of a fish bone into the peritoneal cavity, through a gastrointestinal fistula is not very rare, but acute cholecystitis caused by a fish bone is unexpected. Read More

BMC Surg 2019 Sep 10;19(1):132. Epub 2019 Sep 10.

Department of Surgery, Kaohsiung Chang Gung Memorial Hospital, No.123, Dapi Rd., Niaosong Dist., Kaohsiung City, 833, Taiwan, Republic of China.

Background: Foreign body ingestion is a scenario occasionally encountered in the emergency room. Pediatric and psychiatric patients are the two most common populations suffering from accidental or in some cases intentional ingestion of foreign bodies. Commonly, majority of cases require no specific treatment and the swallowed objects pass through the digestive tract spontaneously without causing any significant complications. Read More

Br J Hosp Med (Lond) 2019 Sep;80(9):546-547

Consultant Psychiatrist, Oxford Psychological Medicine Centre, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford.

Medicine (Baltimore) 2019 Sep;98(36):e17032

Division of Colon and Rectal Surgery, Department of Surgery, Soonchunhyang University College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, South Korea.

Rationale: Failure to pass though the gastrointestinal tract can result in inflammatory response, reactive fibrosis, and intestinal perforation. Fish bones, chicken bones, and toothpicks are the most common types of foreign substances that produce intestinal perforation during ingestion.

Patient Concerns: Case 1: A 49-year-old female was hospitalized with abdominal pain and a fever. Read More