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Endoscopic Removal of an Ingested Bread Bag Clip Penetrating the Pyloric Ring

Saiki Suzuki1, Takayoshi Fujita2, Masaya Morii2

  • 1Clinical Education and Training Center, Okazaki City Hospital, Japan.

Internal Medicine (Tokyo, Japan)
|August 20, 2025
PubMed

Insights

A bread-bag clip (BC) caused a duodenal ulcer in a patient with autism. Emergency endoscopy successfully removed the foreign body, highlighting its importance in suspected BC ingestion cases.

Area of Science:

  • Gastroenterology
  • Endoscopy
  • Foreign Body Ingestion

Background:

  • Autism spectrum disorder can be associated with pica, leading to the ingestion of non-food items.
  • Foreign body ingestion in the gastrointestinal tract can cause significant complications, including perforation and obstruction.

Purpose of the Study:

  • To report a case of duodenal ulceration caused by a bread-bag clip (BC) in an adult patient with autism.
  • To emphasize the diagnostic and therapeutic role of esophagogastroduodenoscopy in managing such cases.

Main Methods:

  • A 54-year-old male patient with autism presented with anemia and weight loss.
  • Computed tomography revealed duodenal wall thickening.
  • Esophagogastroduodenoscopy identified a BC piercing the pyloric ring, causing a duodenal ulcer.

Main Results:

  • The bread-bag clip was successfully removed endoscopically using grasping forceps.
  • The patient's symptoms were attributed to the ingested foreign body.

Conclusions:

  • Ingestion of bread-bag clips can lead to serious gastrointestinal complications such as duodenal ulcers.
  • Emergency endoscopy is a crucial intervention for suspected bread-bag clip ingestion.
Keywords:
bag closurebread bag clipesophagogastroduodenoscopyforeign body ingestionpenetrationpyloric ring

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