{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:40:05Z","timestamp":1756305605491,"version":"3.44.0"},"reference-count":41,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,11,6]]},"abstract":"<jats:p>A 20-year-old woman was brought to the surgery emergency department with the complaint of epigastric pain since 1 day following ingestion of multiple metallic nails with a cup full of toilet cleaner (corrosive acid) with a suicidal intention. Physical examination was essentially unremarkable, and the abdomen showed no signs of perforation peritonitis. X-rays of the abdomen showed multiple \u2018nail\u2019-like radiopaque shadows in the abdominal cavity with no evidence of free gas under the domes of the diaphragm. A non-operative expectant management was pursued. The patient had passed all the sharps in stools without any complication and was discharged after 12 days. After 3\u2009weeks, the patient presented with non-bilious vomiting. Further investigations revealed pyloric stenosis with no oesophageal luminal stenosis. To bypass the pyloric stenosis, a Billroth II gastrojejunostomy was performed. The postoperative period was uneventful, and the recovery was smooth.<\/jats:p>","DOI":"10.1136\/bcr-2017-222338","type":"journal-article","created":{"date-parts":[[2017,11,22]],"date-time":"2017-11-22T02:20:18Z","timestamp":1511317218000},"page":"bcr-2017-222338","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Ingestion of nine metallic nails with corrosive: what happened next?"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7492-8475","authenticated-orcid":false,"given":"Manu","family":"Vats","sequence":"first","affiliation":[{"name":"General Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sadhasivam","family":"Ramasamy","sequence":"additional","affiliation":[{"name":"General Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sushanto","family":"Neogi","sequence":"additional","affiliation":[{"name":"General Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjeev Kumar","family":"Tudu","sequence":"additional","affiliation":[{"name":"General Surgery, Maulana Azad Medical College, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,11,21]]},"reference":[{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0b013e31816b78f5"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.2","doi-asserted-by":"crossref","first-page":"540","DOI":"10.4103\/1119-3077.116879","article-title":"Metallic sewing needle ingestion presenting as acute abdomen","volume":"16","author":"Misra","year":"2013","journal-title":"Niger J Clin Pract"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.3","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1111\/j.1368-5031.2006.00709.x","article-title":"A review of gastrointestinal foreign bodies","volume":"60","author":"Ayantunde","year":"2006","journal-title":"Int J Clin Pract"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.4","doi-asserted-by":"crossref","first-page":"475","DOI":"10.4253\/wjge.v6.i10.475","article-title":"Endoscopic management of foreign bodies in the upper gastrointestinal tract: A review","volume":"6","author":"Sugawa","year":"2014","journal-title":"World J Gastrointest Endosc"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.5","doi-asserted-by":"publisher","DOI":"10.1100\/2012\/840421"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.6","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2012.0869"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.7","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2012-301631"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0736-4679(97)00229-1"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.9","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.ijporl.2016.06.002","article-title":"An unusual sharp magnetic foreign body in the oesophagus and its removal: A case report","volume":"87","author":"Agrawal","year":"2016","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.10","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(95)70273-3"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.11","first-page":"2295","article-title":"Management of ingested foreign bodies within the appendix: a case report with review of the literature","volume":"92","author":"Klingler","year":"1997","journal-title":"Am J Gastroenterol"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.12","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8627(05)70264-9"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.13","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(41)90652-9"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.14","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(88)71436-4"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.15","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(95)70274-1"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.16","first-page":"99","article-title":"Comparison of the clinical presentations of ingested foreign bodies requiring operative and nonoperative management","volume":"90","author":"Hsieh","year":"2005","journal-title":"Int Surg"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.17","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800650103"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.18","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(83)72586-1"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.19","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(95)70273-3"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.20","first-page":"28","article-title":"Endoscopic removal of 15 gastrointestinal foreign bodies","volume":"6","author":"Savran","year":"2015","journal-title":"APSP J Case Rep"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.21","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/S0016-5107(86)71926-3","article-title":"Endoscopic removal of entrapped coins from an intraluminal duodenal diverticulum 20 years after ingestion","volume":"32","author":"Adams","year":"1986","journal-title":"Gastrointest Endosc"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.22","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1155\/1997\/815876","article-title":"Occult liver abscess following clinically unsuspected ingestion of foreign bodies","volume":"11","author":"Tsui","year":"1997","journal-title":"Can J Gastroenterol"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.23","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(99)90106-9"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.24","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1097\/00063110-199809000-00007","article-title":"Management of ingested foreign bodies in childhood: our experience and review of the literature","volume":"5","author":"Hachimi-Idrissi","year":"1998","journal-title":"Eur J Emerg Med"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.25","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":"2025082707125411000_2017.nov21_1.bcr-2017-222338.26","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1017\/S0022215100120134","article-title":"Oesophageal foreign body: an unusual cause of respiratory symptoms in a three-week-old baby","volume":"106","author":"Chowdhury","year":"1992","journal-title":"J Laryngol Otol"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.27","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(02)70407-0"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.28","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1053\/j.sult.2014.10.008","article-title":"Role of plain radiography in the assessment of ingested foreign bodies in the pediatric patients","volume":"36","author":"Pinto","year":"2015","journal-title":"Semin Ultrasound CT MR"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.29","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.20130500"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.30","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2010.11.010"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.31","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1053\/j.sult.2012.06.004","article-title":"Role of computed tomography in the assessment of intraorbital foreign bodies","volume":"33","author":"Pinto","year":"2012","journal-title":"Semin Ultrasound CT MR"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.32","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1986.02140220071035"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.33","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0644(85)80289-4"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.34","doi-asserted-by":"publisher","DOI":"10.1016\/j.giec.2007.03.002"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.35","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1155\/2005\/516195","article-title":"Management of ingested foreign bodies","volume":"19","author":"Telford","year":"2005","journal-title":"Can J Gastroenterol"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.36","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1016\/S1607-551X(09)70338-9","article-title":"Successful localization and surgical removal of ingested sewing needles under mini C-arm fluoroscopy: a case report","volume":"22","author":"Ma","year":"2006","journal-title":"Kaohsiung J Med Sci"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.37","unstructured":"Hendry K , Glue P , Hill J , et al . Ingestion of sharp foreign objects: a case series, literature review and management recommendation. J Gastric Disord Ther 2015."},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.38","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(97)70179-2"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.39","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2006.01.059"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.40","first-page":"173","article-title":"Foreign bodies of the esophagus","volume":"51","author":"Chaikhouni","year":"1985","journal-title":"Am Surg"},{"key":"2025082707125411000_2017.nov21_1.bcr-2017-222338.41","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(97)70179-2"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222338","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:13:04Z","timestamp":1756303984000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222338"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,11,21]]},"references-count":41,"alternative-id":["10.1136\/bcr-2017-222338"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222338","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,11,21]]}}}