{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T04:10:39Z","timestamp":1772165439236,"version":"3.50.1"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Emerg Med"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Accidental ingestion of foreign objects is a frequent emergency presentation that can lead to serious complications. It is most often seen in children and high-risk adults, but remains rare in healthy adolescents without predisposing factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>We describe a 17-year-old female who accidentally swallowed a metallic bullet casing during a meal. She presented two hours later with only a mild sore throat. Serial abdominal radiographs demonstrated progressive passage of the casing through the gastrointestinal tract without perforation or obstruction. With close inpatient monitoring, including clinical evaluations and sequential imaging, the casing was spontaneously expelled per rectum. The patient remained asymptomatic, and follow-up showed no complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Most blunt, small foreign bodies pass spontaneously. This case highlights that, in carefully selected asymptomatic patients, conservative management with vigilant monitoring is a safe and effective alternative to invasive intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Conservative management can be both safe and effective in healthy adolescents who accidentally ingest a foreign body, provided there are no clinical or radiological signs of obstruction, perforation, or other complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12245-025-01047-3","type":"journal-article","created":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T07:24:09Z","timestamp":1762327449000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous passage of an accidentally ingested metallic bullet casing in an adolescent: a case report"],"prefix":"10.1186","volume":"18","author":[{"given":"Sowdo","family":"Nur Iyow","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4809-0768","authenticated-orcid":false,"given":"Abdullahi","family":"Ahmed Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulkadir","family":"Nur Mohamed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shuayb","family":"Moallim Ali Jama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1603-1333","authenticated-orcid":false,"given":"Hassan","family":"Adan Ali Adan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"issue":"7","key":"1047_CR1","doi-asserted-by":"publisher","first-page":"664","DOI":"10.1136\/flgastro-2020-101450","volume":"12","author":"A Becq","year":"2021","unstructured":"Becq A, Camus M, Dray X. Foreign body ingestion: Dos and don\u2019ts. Frontline Gastroenterol. 2021;12(7):664\u201370.","journal-title":"Frontline Gastroenterol"},{"key":"1047_CR2","first-page":"01","volume":"12","author":"M Mathew","year":"2025","unstructured":"Mathew M. Non-accidental foreign body ingestion in elderly-a case report. EC Gastroenterol Dig Syst. 2025;12:01\u20136.","journal-title":"EC Gastroenterol Dig Syst"},{"key":"1047_CR3","doi-asserted-by":"crossref","unstructured":"Reed CC, Dellon ES, Shaheen NJ. Miscellaneous diseases of the esophagus: foreign bodies, physical injury, and systemic and dermatological diseases. Yamada\u2019s Textbook Gastroent. 2022 Apr;15:909\u201323.","DOI":"10.1002\/9781119600206.ch48"},{"key":"1047_CR4","doi-asserted-by":"publisher","first-page":"101928","DOI":"10.1016\/j.bpg.2024.101928","volume":"70","author":"C Kulinna-Cosentini","year":"2024","unstructured":"Kulinna-Cosentini C, Hodge JC, Ba-Ssalamah A. The role of radiology in diagnosing gastrointestinal tract perforation. Best Pract Res Clin Gastroenterol. 2024;70:101928.","journal-title":"Best Pract Res Clin Gastroenterol"},{"issue":"1","key":"1047_CR5","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5223\/pghn.2023.26.1.1","volume":"26","author":"K Demiroren","year":"2023","unstructured":"Demiroren K. Management of gastrointestinal foreign bodies with brief review of the guidelines. Pediatr Gastroenterol Hepatol Nutr. 2023;26(1):1.","journal-title":"Pediatr Gastroenterol Hepatol Nutr"},{"key":"1047_CR6","unstructured":"Hajisafarali M, Rajabnia M. Foreign body ingestion in the upper gastrointestinal tract: a comprehensive review of guidelines and endoscopic management with case presentations."},{"key":"1047_CR7","doi-asserted-by":"crossref","unstructured":"Shah S, Nemeth A. Foreign body ingestion: an unusual case in a patient with dementia. Cureus. 2023;15(6).","DOI":"10.7759\/cureus.41212"},{"key":"1047_CR8","first-page":"2407","volume":"4","author":"A Qureshi","year":"2019","unstructured":"Qureshi A, Cunningham J, Naz S. Foreign body (FB) insertion is a common presentation in emergency surgery and gastroenterology. Clin Surg. 2019;4:2407.","journal-title":"Clin Surg"},{"key":"1047_CR9","doi-asserted-by":"crossref","unstructured":"Alturkmani OG, Al-Badawi MM, Alturkmani SG, Al-Midani MH, Attar SA, Al-Badawi M, AL Turkmani SG, Attar SA. A case report of non-intentional foreign body ingestion in an elderly patient. Cureus. 2023;15(4).","DOI":"10.7759\/cureus.37684"},{"key":"1047_CR10","doi-asserted-by":"crossref","unstructured":"Mathew RP, Sarasamma S, Jose M, Toms A, Jayaram V, Patel V, Low G. Clinical presentation, diagnosis and management of aerodigestive tract foreign bodies in the adult population: Part 1. SA J Radiol. 2021;25(1).","DOI":"10.4102\/sajr.v25i1.2022"},{"issue":"7","key":"1047_CR11","doi-asserted-by":"publisher","first-page":"638","DOI":"10.3348\/kjr.2025.0118","volume":"26","author":"SM Lee","year":"2025","unstructured":"Lee SM, Baek SE, Lee CW, Kim YC, Kim MJ. Foreign body ingestion: radiologic Evaluation, Findings, and management. Korean J Radiol. 2025;26(7):638\u201349.","journal-title":"Korean J Radiol"},{"key":"1047_CR12","doi-asserted-by":"crossref","unstructured":"Campo TM, editor. Medical imaging for the health care provider: practical radiograph interpretation. Springer Publishing Company; 2023. Aug 18.","DOI":"10.1891\/9780826160478"},{"key":"1047_CR13","doi-asserted-by":"publisher","first-page":"107331","DOI":"10.1016\/j.ijscr.2022.107331","volume":"96","author":"BM Munasinghe","year":"2022","unstructured":"Munasinghe BM, Karunatileke CT, Rajakaruna RA, Senevirathne PS, Dhanuksha DC. A fatal perforation of the distal ileum from an ingested fish bone: a case report. Int J Surg Case Rep. 2022;96:107331.","journal-title":"Int J Surg Case Rep"},{"issue":"6","key":"1047_CR14","doi-asserted-by":"publisher","first-page":"106099","DOI":"10.4253\/wjge.v17.i6.106099","volume":"17","author":"Y Shahid","year":"2025","unstructured":"Shahid Y. Modern endoscopist\u2019s toolbox: innovations in foreign body removal. World J Gastrointest Endoscopy. 2025;17(6):106099.","journal-title":"World J Gastrointest Endoscopy"},{"key":"1047_CR15","unstructured":"Appenteng RA, Ngo TL. Foreign body removal. Urgent care medicine secrets E-Book: urgent care medicine secrets E-Book. 2024 Jan 29:332."},{"key":"1047_CR16","doi-asserted-by":"crossref","unstructured":"Haningtyas F, Prasetyo SA, Raharjo R. Beyond\u2019Blunt\u2019: a pathophysiology-guided framework for managing high-risk pediatric foreign body ingestion. 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