Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2017 Dec 7:2017:bcr2017223182.
doi: 10.1136/bcr-2017-223182.

Double duodenal perforation following foreign body ingestion

Andrew W Gardner  1 , Rami W Radwan  1 , Miles C Allison  1 , Rhodri J Codd  1
Affiliations
Case Reports

Double duodenal perforation following foreign body ingestion

Andrew W Gardner et al. BMJ Case Rep. .

Abstract

Intentional ingestion of a foreign body in adults is a rare clinical presentation. This case is one of a 27-year-old Sudanese man who presented having swallowed a ballpoint pen intentionally. Clinical examination and plain chest radiograph exhibited no signs indicative of perforation with only a raised C reactive protein identified on blood tests. Subsequent gastroscopy revealed that the pen had simultaneously perforated the duodenum at both D1 and D3 requiring removal via a laparotomy. The patient fully recovered and was discharged 2 weeks postoperatively following psychiatric input.

Keywords: gastrointestinal surgery; general surgery.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Plain abdominal radiograph showing the pen in the right upper quadrant.
Figure 2
Figure 2
Intraoperative image showing a small perforation in D1.
Figure 3
Figure 3
Intraoperative image showing a large perforation in D3.
Figure 4
Figure 4
Intraoperative image showing the pen being successfully removed.
See this image and copyright information in PMC

References

    1. Webb WA. Management of foreign bodies of the upper gastrointestinal tract: update. Gastrointest Endosc 1995;41:39–51. 10.1016/S0016-5107(95)70274-1 - DOI - PubMed
    1. Erbil B, Karaca MA, Aslaner MA, et al. . Emergency admissions due to swallowed foreign bodies in adults. World J Gastroenterol 2013;19:6447–52. 10.3748/wjg.v19.i38.6447 - DOI - PMC - PubMed
    1. Ambe P, Weber SA, Schauer M, et al. . Swallowed foreign bodies in adults. Dtsch Arztebl Int 2012;109:869–75. 10.3238/arztebl.2012.0869 - DOI - PMC - PubMed
    1. Birk M, Bauerfeind P, Deprez PH, et al. . Removal of foreign bodies in the upper gastrointestinal tract in adults: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2016;48:489–96. 10.1055/s-0042-100456 - DOI - PubMed
    1. Wang L, Wen W, Huang J, et al. . Endoscopic Removal of a duodenal-perforating leg of glasses with dormia basket. Case Rep Gastroenterol 2016;10:679–84. 10.1159/000452205 - DOI - PMC - PubMed

Publication types