Endoscopic Retrieval of an Ingested Mobile Phone From the Stomach of a Prisoner: When Gastroenterologists Answer the

Ahmed Ali1, Ali M Mahgoub2, Samar Emad1

  • 1Internal Medicine, Mansoura International Hospital, Mansoura, EGY.

Cureus
|February 1, 2023
PubMed

Insights

Foreign body ingestion, especially mobile phones, is rare in adults. This case highlights successful non-surgical management using upper esophagogastroduodenoscopy (EGD).

Area of Science:

  • Gastroenterology
  • Toxicology
  • Emergency Medicine

Background:

  • Foreign body ingestion (FBI) is prevalent in children, but intentional ingestion in adults is linked to psychiatric conditions, developmental delays, and substance use.
  • Management protocols for complex foreign body ingestions, such as mobile phones, remain unstandardized in medical literature.
  • Prior to 2020, only four cases of mobile phone ingestion had been documented.

Observation:

  • This report details a rare instance of a mobile phone being ingested by an adult patient.
  • The patient's presentation and the complexity of the ingested object posed a significant clinical challenge.

Findings:

  • The mobile phone was successfully retrieved and managed non-surgically.
  • Upper esophagogastroduodenoscopy (EGD) proved to be an effective endoscopic intervention for this complex foreign body removal.

Implications:

  • This case expands the understanding of managing rare and complex foreign body ingestions in adults.
  • Non-operative endoscopic retrieval should be considered a primary treatment option for mobile phone ingestion.
  • Further case reports and studies are needed to refine management strategies for similar complex FBIs.

Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
291
Prevention of Further Absorption of Poison01:14

Prevention of Further Absorption of Poison

In cases of acute poisoning, the primary objective is to prevent further absorption of the toxic substance into the body. Immediate interventions using various decontamination techniques targeting the gastrointestinal (GI) tract can achieve this. Decontamination is crucial to prevent poison from entering the systemic circulation, which involves washing affected areas with water and mild soap and removing contaminated clothing. Once external decontamination is done, attention must be turned to...
898
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
315
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
675
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
143
What is Monogastric Digestion?01:50

What is Monogastric Digestion?

The human body contains a monogastric digestive system. In a monogastric digestive system, the stomach only contains one chamber in which it digests food. Several other animal species also have monogastric digestive systems, including pigs, horses, dogs, and birds. This chapter, however, focuses on the human digestive system.
71.9K