{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T22:15:20Z","timestamp":1765232120329,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>The majority of ingested foreign bodies pass of their own accord without causing any adverse impact on the patient, while others present a greater management dilemma. We present a case of a 36-year-old man admitted to the hospital with a 10-day history of colicky abdominal pain following voluntary ingestion of multiple pairs of vinyl gloves. The plain-film abdominal X-ray confirmed small bowel obstruction and gastric bezoar. After failed conservative management he opted for endoscopic retrieval. Following exposure to stomach acid the gloves had lost their structural integrity becoming hard, sharp and brittle. As a result endoscopic removal was abandoned due to the risk of traumatic injury to the oesophagus. A midline laparotomy was performed and the gloves were retrieved via enterotomy. While many foreign bodies are suitable for endoscopic extraction this case demonstrates that the retrieval of vinyl gloves is unlikely to be successful due to significant chemical change.<\/jats:p>","DOI":"10.1136\/bcr-2013-200727","type":"journal-article","created":{"date-parts":[[2013,12,13]],"date-time":"2013-12-13T06:24:19Z","timestamp":1386915859000},"page":"bcr2013200727","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Twenty-one bust: a case of chemical transformation of an ingested foreign body"],"prefix":"10.1136","volume":"2013","author":[{"given":"Nicholas","family":"Greer","sequence":"first","affiliation":[{"name":"Department of General Surgery, Ulster Hospital, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Mark","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Ulster Hospital, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keith","family":"Mulholland","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Ulster Hospital, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Kirk","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Ulster Hospital, Belfast, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,12,13]]},"reference":[{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-005-0037-6"},{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.2","doi-asserted-by":"publisher","DOI":"10.1007\/s004310100788"},{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.3","first-page":"110","article-title":"Foreign body ingestion in prisoners: the belfast experience","volume":"7","author":"Bisharat","year":"2008","journal-title":"Ulster Med J"},{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1984.03350060040026"},{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.5","first-page":"141","article-title":"Pica among mentally retarded adults","volume":"87","author":"Danford","year":"1982","journal-title":"Am J Ment Defic"},{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.6","first-page":"195","article-title":"Acute abdomen in severely mentally retarded patients","volume":"30","author":"Voitk","year":"1987","journal-title":"Can J Surg"},{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.7","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-002-4263-9"},{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.8","doi-asserted-by":"publisher","DOI":"10.1007\/s002689900152"},{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.9","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1055\/s-2001-16212","article-title":"Endoscopic management of foreign bodies in the upper gastrointestinal tract: report on a series of 414 adult patients","volume":"3","author":"Mosca","year":"2001","journal-title":"Endoscopy"},{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.10","first-page":"201","article-title":"The hazards of vinyl glove ingestion in the mentally retarded patient with pica: new implications for surgical management","volume":"42","author":"Kamal","year":"1999","journal-title":"Can J Surg"},{"key":"2025082803270755000_2013.dec13_1.bcr2013200727.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2012.01.061"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-200727","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:27:12Z","timestamp":1756376832000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-200727"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,12,13]]},"references-count":11,"alternative-id":["10.1136\/bcr-2013-200727"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-200727","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,12,13]]}}}