Gastric Foreign Body
25 year-old man presenting with nausea and abdominal discomfort, who had ingested dozens of interlocked safety pins.
Left: 77 year-old woman with dementia, undergoing endoscopy for insertion of a feeding gastrostomy tube.
An incidental finding was this cloth-covered elastic hair accessory which the patient had apparently recently ingested.
Right: 69 year-old man with esophageal squamous cell carcinoma, who had a coil-type esophageal stent placed
four weeks previously. The stent has migrated from the esophagus and into the stomach.
59 year-old man who became delerious on an airplane and bragged to other passengers that he would soon be wealthy due to his
illicit activity, later became unresponsive and was brought to hospital. Narcan induced only transient responsiveness. He was intubed
and admitted to ICU. Drug screen was strongly positive for narcotics. Abdominal xray suggested multiple gastric foreign bodies. Endoscopy
indeed revealed numerous pellets measuring 4.5 by 1.5 cm in the stomach, two of which appeared to have ruptured and emptied their contents.
A total of 55 packets were retrieved from the stomach, one by one, over 3.5 hours. Unfortunately, a subsequent xray demonstrated additional
foreign bodies in the intestinal tract. Click here for the remainder of the story.
25 year old with dysphagia undergoing endoscopy for intended percutaneous gastrostomy placement. Endoscopy revealed the presence of a
guidewire penetrating into the stomach. There was no history of prior gastrostomy placement. The guidewire was presumably left over
from a previous ventriculoperitoneal shunt placement.
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