{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:09Z","timestamp":1756425789885,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,11,28]]},"abstract":"<jats:p>Intentional ingestion of a foreign body in adults is a rare clinical presentation. This case is one of a 27-year-old Sudanese man who presented having swallowed a ballpoint pen intentionally. Clinical examination and plain chest radiograph exhibited no signs indicative of perforation with only a raised C reactive protein identified on blood tests. Subsequent gastroscopy revealed that the pen had simultaneously perforated the duodenum at both D1 and D3 requiring removal via a laparotomy. The patient fully recovered and was discharged 2\u2009weeks postoperatively following psychiatric input.<\/jats:p>","DOI":"10.1136\/bcr-2017-223182","type":"journal-article","created":{"date-parts":[[2017,12,8]],"date-time":"2017-12-08T00:20:25Z","timestamp":1512692425000},"page":"bcr-2017-223182","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Double duodenal perforation following foreign body ingestion"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2505-254X","authenticated-orcid":false,"given":"Andrew W","family":"Gardner","sequence":"first","affiliation":[{"name":"Department of General Surgery, Aneurin Bevan University Health Board, Newport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rami W","family":"Radwan","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Aneurin Bevan University Health Board, Newport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miles C","family":"Allison","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Aneurin Bevan University Health Board, Newport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rhodri J","family":"Codd","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Aneurin Bevan University Health Board, Newport, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,12,7]]},"reference":[{"key":"2025082800485211000_2017.dec07_1.bcr-2017-223182.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(95)70274-1"},{"key":"2025082800485211000_2017.dec07_1.bcr-2017-223182.2","doi-asserted-by":"crossref","first-page":"6447","DOI":"10.3748\/wjg.v19.i38.6447","article-title":"Emergency admissions due to swallowed foreign bodies in adults","volume":"19","author":"Erbil","year":"2013","journal-title":"World J Gastroenterol"},{"key":"2025082800485211000_2017.dec07_1.bcr-2017-223182.3","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2012.0869"},{"key":"2025082800485211000_2017.dec07_1.bcr-2017-223182.4","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-100456"},{"key":"2025082800485211000_2017.dec07_1.bcr-2017-223182.5","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1159\/000452205","article-title":"Endoscopic Removal of a duodenal-perforating leg of glasses with dormia basket","volume":"10","author":"Wang","year":"2016","journal-title":"Case Rep Gastroenterol"},{"key":"2025082800485211000_2017.dec07_1.bcr-2017-223182.6","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-005-0490-2"},{"key":"2025082800485211000_2017.dec07_1.bcr-2017-223182.7","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.ijscr.2015.10.033","article-title":"Double esophageal perforation by ingested foreign body: endoscopic and surgical approach. A case report","volume":"17","author":"Ugenti","year":"2015","journal-title":"Int J Surg Case Rep"},{"key":"2025082800485211000_2017.dec07_1.bcr-2017-223182.8","first-page":"471","article-title":"Endoscopic removal of duodenal perforating fishbone - a case report","volume":"110","author":"Tumay","year":"2015","journal-title":"Chirurgia"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-223182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:48:56Z","timestamp":1756367336000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-223182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,7]]},"references-count":8,"alternative-id":["10.1136\/bcr-2017-223182"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-223182","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2017,12,7]]}}}