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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2013; 04(03): 087-089
DOI: 10.4103/0976-5042.129984
Case Report
Society of Gastrointestinal Endoscopy of India

Open safety pin ingestion - Usual method of removal in an unusual way

Sathya G.
Department of Digestive Health and Diseases, Government Peripheral Hospital, Annanagar, Chennai, India
,
Balamurali R.
Department of Digestive Health and Diseases, Government Peripheral Hospital, Annanagar, Chennai, India
,
Ganesh P.
Department of Digestive Health and Diseases, Government Peripheral Hospital, Annanagar, Chennai, India
,
Jeevankumar S.
Department of Digestive Health and Diseases, Government Peripheral Hospital, Annanagar, Chennai, India
› Author Affiliations
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Publication History

Publication Date:
26 September 2019 (online)

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Abstract

Single foreign body ingestion is a common scenario that is commonly encountered by gastroenterologists. The symptoms tend to be nonspecific and most of the foreign bodies pass spontaneously. Ingestion of sharp foreign bodies is also not uncommon. It can lead to complications like impaction or perforation. Most of these ingested foreign bodies can be retrieved with endoscopy. We report a 25-year-old patient who underwent successful endoscopic removal of an open safety pin that was ingested accidentally 3 months previously and was impacted at the junction of first and second parts of the duodenum, using a side-view duodenoscope. The presentation of a sharp foreign body without complications which is impacted for 3 months is unusual and its endoscopic extraction without complication is equally uncommon.

Key words

Duodenum - impacted open safety pin - side-viewing scope
 

  • References

  • 1 Webb WA. Management of foreign bodies of the upper gastrointestinal tract: Update. Gastrointest Endosc 1995;41:39-51.
  • 2 Chang JJ, Yen CL. Endoscopic retrieval of multiple fragmented gastric bamboo chopsticks by using a flexible overtube. World J Gastroenterol 2004;10:769-70.
  • 3 Green SM, Schmidt SP, Rothrock SG. Delayed appendicitis from an ingested foreign body. Am J Emerg Med 1994;12:53-6.
  • 4 Sar S, Mahawar KK, Marsh R, Small PK. Recurrent appendicitis following successful conservative management of an appendicular mass in association with a foreign body: A case report. Cases J 2009;24:7776.
  • 5 Bullaboy CA, Derkac WM, Johnson DH, Jennings RB Jr. False aneurysm of the aorta secondary to an esophageal foreign body. Ann Thorac Surg 1985;39:275-6.
  • 6 Gun F, Salman T, Abbasoglu L, Celik R, Celik A. Safety pin ingestion in children. A cultural fact. Pediatr Surg Int 2003;19:482-4.
  • 7 Kalayci A, Tander B, Kocak S, Rizalar R, Bernay F. Removal of open safety pins in infants by flexible endoscopy is effective and safe. J Laparoendosc Adv Surg Tech A 2007;17:242-5.
  • 8 El Hajj II, Clarke BW, Slivka A. Retrieval of a long foreign body from the stomach with a duodenoscope. Endoscopy 2011;43:E107-8.
  • 9 Morrisey SK, Thakkar SJ, Weaver ML, Farah K. Bread Bag Clip Ingestion: A rare cause of upper gastrointestinal bleeding. J Gastroenterol Hepatol 2008;4:499-500.