Laparoscopic transgastric removal of spoons at least 7 years after ingestion

Adeel A Shamim, Om Parkash, MD, Amir H Shariff, MD

The Aga Khan University

The presentation of ingested foreign bodies in the gastrointestinal system is common in the emergency setting. Depending on their size, they can either be managed conservatively or may require endoscopic removal. We present an unusual case of intragastric foreign bodies (two teaspoons) that presented very late after ingestion.

A 29 years old female with no prior co-morbids presented with an abdominal X-ray demonstrating a metallic spoon shaped foreign body in the epigastrium. She was asymptomatic at this time. She did not have any recollection of having ingested the foreign body. Approximately 7 years ago an X-ray taken at an international airport demonstrated the foreign body. She was referred for endoscopic removal; however despite multiple attempts this was unsuccessful. The following day two teaspoons were removed laparoscopically by creating a 3cm anterior gastrotomy. She was discharged home on the second postoperative day.

Though the majority of ingested foreign bodies can be managed endoscopically, a small proportion will require surgical intervention. Laparoscopic removal of ingested foreign bodies can be safely performed.

Session: Poster Presentation

Program Number: P499

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