{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T06:12:02Z","timestamp":1792735922552,"version":"4.5.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T00:00:00Z","timestamp":1782345600000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Intentional ingestion of sharp foreign bodies in adults is uncommon and often associated with self-harm behavior. Multiple sharp objects located in different gastrointestinal segments significantly increase the risk of perforation and bleeding. We report a 27-year-old man who intentionally ingested nine razor blades and a full-length metallic fork. Radiography demonstrated multiple radiopaque objects without free air. Non-contrast computed tomography revealed a 185-mm fork extending from the distal esophagus into the stomach and razor blades within the proximal small bowel. Given the length of the fork, the multiplicity of sharp objects, and their distribution beyond the pylorus, endoscopic retrieval was deemed unsafe. The patient underwent urgent exploratory laparotomy with combined enterotomy and gastrotomy, enabling complete removal under intraoperative fluoroscopic guidance. Recovery was uneventful, and psychiatric follow-up was arranged. This case highlights the importance of early imaging, timely surgical intervention, and multidisciplinary care in managing complex sharp foreign body ingestion.<\/jats:p>","DOI":"10.1093\/jscr\/rjag445","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:45:37Z","timestamp":1780573537000},"source":"Crossref","is-referenced-by-count":1,"title":["Intentional ingestion of a full-length table fork and multiple razor blades requiring combined enterotomy and gastrotomy: a case report"],"prefix":"10.1093","volume":"2026","author":[{"given":"Milad","family":"Dodangeh","sequence":"first","affiliation":[{"name":"Department of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences , Tehran ,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omidreza","family":"NikbakhtAmirabad","sequence":"additional","affiliation":[{"name":"Student Research Committee, Shahid Beheshti University of Medical Sciences , Tehran ,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Setareh","family":"Mahmoodi","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences , Tehran ,","place":["Iran"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"2026062506271147500_ref1","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1016\/j.gie.2010.11.010","article-title":"Management of ingested foreign bodies and food impactions","volume":"73","author":"Ikenberry","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"2026062506271147500_ref2","doi-asserted-by":"publisher","first-page":"e934164","DOI":"10.12659\/AJCR.934164","article-title":"Intentional foreign body ingestions: a complex, recurrent and costly issue","volume":"22","author":"Masood","year":"2021","journal-title":"American Journal of Case Reports"},{"key":"2026062506271147500_ref3","doi-asserted-by":"publisher","first-page":"869","DOI":"10.3238\/arztebl.2012.0869","article-title":"Swallowed foreign bodies in adults","volume":"109","author":"Ambe","year":"2012","journal-title":"Dtsch Arztebl Int"},{"key":"2026062506271147500_ref4","doi-asserted-by":"publisher","DOI":"10.16966\/2381-8689.101","article-title":"Ingestion of sharp foreign objects: a case series, literature review and management recommendation","volume":"1","author":"H","year":"2015","journal-title":"J Gastric Disord Ther (ISSN 2381\u20138689)"},{"key":"2026062506271147500_ref5","first-page":"482","article-title":"Recurrent intentional foreign body ingestion: an endoscopist\u2019s dilemma","volume":"8","author":"Atluri","year":"2012","journal-title":"Gastroenterol Hepatol"},{"key":"2026062506271147500_ref6","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1007\/s00464-001-4213-y","article-title":"Laprascopic extraction of a swallowed fork in a patient first diagnosed with bulimia nervosa","volume":"16","author":"Schenk","year":"2002","journal-title":"Surg Endosc Other Interv Tech"},{"key":"2026062506271147500_ref7","doi-asserted-by":"publisher","first-page":"1070","DOI":"10.29271\/jcpsp.2022.08.1070","article-title":"Insidious onset of localised small intestinal perforation by ingested plastic fork","volume":"32","author":"Yilmaz","year":"2022","journal-title":"J Coll Physicians Surg Pak"},{"key":"2026062506271147500_ref8","volume-title":"Hong Kong Med J","author":"Yong","year":"2000"},{"key":"2026062506271147500_ref9","doi-asserted-by":"publisher","first-page":"e83138","DOI":"10.7759\/cureus.83138","article-title":"A rare case of table fork ingestion requiring laparotomy","volume":"17","author":"Edizsoy","year":"2025","journal-title":"Cureus"},{"key":"2026062506271147500_ref10","doi-asserted-by":"publisher","DOI":"10.58489\/2837-3367\/001","article-title":"Razor blade foreign body in esophagus - a case report","volume":"1","author":"Bhattacharya","year":"2022","journal-title":"J ENT and Healthcare"},{"key":"2026062506271147500_ref11","doi-asserted-by":"publisher","first-page":"rjaa094","DOI":"10.1093\/jscr\/rjaa094","article-title":"Ingestion of razor blades, a rare event: a case report in a psychiatric patient","volume":"2020","author":"Delgado Salazar","year":"2020","journal-title":"J Surg Case Rep"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag445\/68610469\/rjag445.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag445\/68610469\/rjag445.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T10:27:19Z","timestamp":1782383239000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag445\/8704820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag445","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag445"}}