Duodenal Perforation by an Ingested Nail

J Clin Exp Invest 2018;9(3):135-136.



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Foreign body ingestion is a rare gastrointestinal entity in adults. Foreign bodies generally do not cause any complications and pass through the gastrointestinal tract spontaneously within a week. 10%-20% of them need endoscopic management, and about 1% of them require surgery. In adults, foreign body ingestion can also occur, especially in people with intellectual disabilities, alcoholics, and in those without teeth, but it also can result from accidental swallowing. We present a case of foreign bodies ingestion by a mentally retarded patient with perforation of duodenum.


Duodenum perforation, ingested nail, mentally retarded patient, acute abdomen


  • Ozkan Z, Kement M, Kargı AB, Censur Z, Gezen FC, Vural S, et al. An interesting journey of an ingested needle: a case report and review of the literature on extra-abdominal migration of ingested foreign bodies. J Cardiothorac Surg. 2011;6:77.
  • Ribas Y, Ruiz-Luna D, Garrido M, Bargalló J, Campillo F. Ingested foreign bodies: do we need a specific approach .when treating inmates? Am Surg. 2014;80:131-7.
  • Telford JJ. Management of ingested foreign bodies. Can J Gastroenterol. 2005;19:599-601.
  • Velitchkov NG, Grigorov GI, Losanoff JE, et al. Ingested foreign bodies of the gastrointestinal tract: retrospective analysis of 542 cases. World J Surg. 1996;20:1001-5.
  • Litovitz T, Schmitz BF. Ingestion of cylindrical and button batteries: an analysis of 2382 cases. Pediatrics. 1992;89:747-57.
  • Cebicci H, Alpaslan M. Foreign Bodies Ingested by a Mentally Retarded Turk J Emerg Med. 2015;15:57.


Bedel C, Tomruk Ö, Yolcu S, Albayrak L. Duodenal Perforation by an Ingested Nail. J Clin Exp Invest. 2018;9(3):135-6. https://doi.org/10.5799/jcei.458763