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Foreign Body-induced Pancreatitis-Multimodal Imaging and Multispecialty Collaboration: A Case Report

Nital Vaghela¹, Mohamad K Abou Chaar¹, Steven C Mahnke²

¹Mayo Clinic, Division of Trauma, Critical Care and General Surgery, Rochester, Minnesota.

Clinical Practice and Cases in Emergency Medicine

|June 30, 2026

Abstract

Introduction:

Foreign body-induced pancreatitis is rare and diagnostically challenging, often presenting with non-specific symptoms and no clear history, unlike typical causes.

Case Report:

A 70-year-old man presented with vomiting and abdominal tenderness. Imaging revealed a 4-cm sharp foreign body near the pancreatic head causing inflammation. Endoscopy and endoscopic ultrasound failed to locate the object. Surgical exploration with intraoperative ultrasound identified and removed the foreign body at the pylorus-duodenal junction. The patient recovered without complications.

Conclusion:

Early diagnosis, multimodal imaging, and surgical collaboration are essential for optimal management of foreign body-induced pancreatitis.

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