Endoscopic Retrieval of an Ingested Mobile Phone From the Stomach of a Prisoner: When Gastroenterologists Answer the Call
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Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Ahmed Ali1, Ali M Mahgoub2, Samar Emad1
1Internal Medicine, Mansoura International Hospital, Mansoura, EGY.
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.
Abstract:
Foreign body ingestion (FBI) is a common problem among the pediatric population. The intentional ingestion of foreign bodies in the adult population is common among psychiatric patients, patients with developmental delay, alcohol use disorder, and prisoners. The management of complex FBI cases like mobile phones is not standardized in the literature. The care was discussed in a few case reports, and till the end of 2020, there were only four cases reported. We present this rare case of mobile phone ingestion, which was successfully managed by upper esophagogastroduodenoscopy (EGD) without the need for surgical intervention.
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