A Case Report of Terminal Ileum Obstruction Due to Foreign Body Ingestion

Although the treatment of patients referred to medical centers due to foreign body ingestion is a common problem، but surgical intervention is required in less than 1% of cases. This can be attributed to the development of endoscopic techniques. The patient was a 32 years old man who come to the emergency ward with complaint about repeated vomiting and nausea. The patient is a smoker with psychological disorders، and a history of addiction in the past few years. The patient''s vomiting had started on the morning of referral، and his defecation and gas passage had been reduced from two days before the referral. He noted ingestion of two connected safety pins، four days before presentation. Abdominal radiography revealed two safety pins in the terminal ileum and distension of small intestinal loops. The patient was hospitalized for four days with the diagnosis of partial obstruction of small intestine، and finally underwent laparotomy due to the worsening of his general condition. After McBurney incision in abdominal wall، impacted foreign bodies were drawn from terminal ileum to jejunum، and then enterotomy was done. The aim of this report is to attract especial attention to the case of patients with psychological disorders who refer to a hospital due to gastrointestinal tract obstruction.