Volume 8, Issue 1 (6-2026)
Tabari Biomed Stu Res J 2026, 8(1): 40-46 |
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Shafaghi A, Asvadi N, Masihpour B, Almasi M, Ghazanfar Tehrani S, Aghajanzadeh M et al . A Case Report of the Management of foreign bodies of the upper gastrointestinal tract: Clinical Approach to Endoscopic Removal. Tabari Biomed Stu Res J 2026; 8 (1) :40-46
URL: http://tbsrj.mazums.ac.ir/article-1-3880-en.html
URL: http://tbsrj.mazums.ac.ir/article-1-3880-en.html
Afshin Shafaghi1 
, Nastaran Asvadi2 , Behnam Masihpour3 , Mohammad Almasi3 , Samaneh Ghazanfar Tehrani4 , Manouchehr Aghajanzadeh5 , Mohaya Farzin *6
, Nastaran Asvadi2 , Behnam Masihpour3 , Mohammad Almasi3 , Samaneh Ghazanfar Tehrani4 , Manouchehr Aghajanzadeh5 , Mohaya Farzin *6
1- Gastroenterologist, Hepatologist, GI Cancer Screening and Prevention Research Center (GCSPRC), Guilan University of Medical Sciences, Rasht, Iran.
2- Internal Medicine Resident, Guilan University of Medical Sciences, Rasht, Iran.
3- Fellowship of Gastroenterology, Guilan University of Medical Sciences, Rasht, Iran.
4- Anesthesiologist, Guilan University of Medical Sciences, Rasht, Iran.
5- Department of Internal Medicine, Inflammatory Lung Diseases Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
6- Department of Physiology, Razi Clinical Research Development Unit, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran
2- Internal Medicine Resident, Guilan University of Medical Sciences, Rasht, Iran.
3- Fellowship of Gastroenterology, Guilan University of Medical Sciences, Rasht, Iran.
4- Anesthesiologist, Guilan University of Medical Sciences, Rasht, Iran.
5- Department of Internal Medicine, Inflammatory Lung Diseases Research Center, Razi Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
6- Department of Physiology, Razi Clinical Research Development Unit, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran
Abstract:
Background: Foreign body ingestion (FBI) is common in emergency departments, often requiring rapid diagnosis and intervention. Endoscopic techniques are the preferred method for safe and effective retrieval.
Case Presentation: A 42-year-old male presented to the emergency department with severe epigastric pain after accidentally swallowing a metallic spoon. He had a history of an undiagnosed psychiatric disorder and showed anxiety and irritability. Radiographic imaging revealed the spoon lodged in the distal stomach. An emergency endoscopy was performed under sedation, successfully retrieving the spoon without complications.
Discussion: This case highlights the importance of timely intervention and the effectiveness of flexible endoscopy in managing impacted foreign bodies in the GI tract. Although rare, metallic object ingestion requires careful evaluation and a multidisciplinary approach to prevent complications such as perforation or obstruction. This case adds to the limited literature on unusual foreign body ingestion and its management in patients with psychiatric comorbidities.
Conclusion: Endoscopic retrieval remains the gold standard for managing GI foreign bodies due to its high success rate and safety profile. Early diagnosis, proper imaging, and skilled endoscopic techniques are crucial for successful outcomes.
Case Presentation: A 42-year-old male presented to the emergency department with severe epigastric pain after accidentally swallowing a metallic spoon. He had a history of an undiagnosed psychiatric disorder and showed anxiety and irritability. Radiographic imaging revealed the spoon lodged in the distal stomach. An emergency endoscopy was performed under sedation, successfully retrieving the spoon without complications.
Discussion: This case highlights the importance of timely intervention and the effectiveness of flexible endoscopy in managing impacted foreign bodies in the GI tract. Although rare, metallic object ingestion requires careful evaluation and a multidisciplinary approach to prevent complications such as perforation or obstruction. This case adds to the limited literature on unusual foreign body ingestion and its management in patients with psychiatric comorbidities.
Conclusion: Endoscopic retrieval remains the gold standard for managing GI foreign bodies due to its high success rate and safety profile. Early diagnosis, proper imaging, and skilled endoscopic techniques are crucial for successful outcomes.
Type of Study: Case Report/Case Series |
Subject:
Gastroenterology
Published: 2026/06/20 | ePublished: 2026/06/20
Published: 2026/06/20 | ePublished: 2026/06/20
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