Plastic bread clip impacted in gastrointestinal tract: a case report and review of the literature

Liew, Amos Nepacina; Suhardja, Thomas Surya; Arachchi, Asiri; Lim, James T.

doi:10.1007/s12328-019-00962-2

Cited by 5 publications

(11 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incidence of bread clip ingestion and its sequelae is uncommon in clinical practice and there are only case reports available in the literature. Most cases of accidental bread clip ingestion have been described in elderly, edentulous patients or the visually impaired 1 . Our patient had no recollection of ever swallowing a bread clip.…”

Section: Figmentioning

confidence: 53%

“…Most cases of accidental bread clip ingestion have been described in elderly, edentulous patients or the visually impaired. 1 Our patient had no recollection of ever swallowing a bread clip. He suspected a bread clip may have fallen into his cup of coffee and he had accidentally swallowed it.…”

mentioning

confidence: 64%

“…The degree of encrusting on the bread clip with enteric contents suggests that ingestion happened years ago. Diagnosis may be difficult as patients are often unaware of ingestion and the radiolucency of the plastic clips on X‐rays 1,2 …”

Section: Figmentioning

confidence: 99%

“…Diagnosis may be difficult as patients are often unaware of ingestion and the radiolucency of the plastic clips on X-rays. 1,2 The proposed mechanism of injury suggests that a fold of bowel mucosa had prolapsed into the 'jaws' of the bread clip. The shape of the clip jaws act as a one-way valve, preventing the bowel mucosa from slipping out.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Delayed small bowel perforation after accidental bread clip ingestion

Chia¹,

Chai

Modak³

2022

ANZ Journal of Surgery

View full text Add to dashboard Cite

Section: Figmentioning

confidence: 53%

mentioning

confidence: 64%

Section: Figmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Delayed small bowel perforation after accidental bread clip ingestion

Chia¹,

Chai

Modak³

2022

ANZ Journal of Surgery

View full text Add to dashboard Cite

“…The complication rate is positively correlated with the retention time and increases by two and seven times after 24 and 72 hours, respectively. 7 The incidence of perforation caused by sharp foreign bodies is as high as 15% to 35%. 8 In contrast to fishbones and iron wires, blades have both piercing and cutting effects on soft tissue, and they had been retained for more than 36 hours in the present case.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic management of multiple broken scalpel blades in the gastrointestinal tract: a case report

Chen

Jia

2021

J Int Med Res

View full text Add to dashboard Cite

The entry of multiple broken scalpel blades into the gastrointestinal tract with involvement of the stomach, ileum, and colon is rare; no such cases have been reported to date. Whether management of multiple sharp foreign bodies is more effective by endoscopy or surgery remains controversial in clinical practice. We herein describe a 23-year-old man with depression who was admitted to our department 36 hours after swallowing multiple scalpel blades. The patient reported abdominal pain and bloody vomit. A radiograph revealed irregular blade-shaped foreign bodies in the abdomen, and computed tomography confirmed foreign bodies in the stomach, mid-distal segment of the ileum, proximal segment of the ascending colon, liver area of the transverse colon, and lumen of the sigmoid colon. Surgery was immediately suggested as the first-choice treatment, but endoscopy was instead performed after a thorough multidisciplinary discussion. All broken scalpel blades were successfully removed with combined gastroscopy and colonoscopy, and the patient’s postoperative recovery was uneventful. This case demonstrates the vital importance of multidisciplinary management and endoscopy as an appropriate treatment approach even for multiple sharp foreign bodies in patients without perforation or peritonitis.

show abstract

A case series of bread clip ingestions

Chuang

Townend

Cooper

2022

Journal of Surgical Case Reports

View full text Add to dashboard Cite

The bread clip is one of the most insidious foreign body ingested. The bread clip poses a serious medical danger to patients yet may often fail to manifest itself clinically on initial ingestion. We present a case series of three patients with bread clips ingestions that were managed in the Gold Coast University Hospital, Queensland, Australia between 2020 and 2021. Bread clips are not always readily identifiable depending on imaging and the management of these patients will often require a multidisciplinary approach between the surgeons, gastroenterologists and radiologists.

show abstract

Plastic bread clip impacted in gastrointestinal tract: a case report and review of the literature

Cited by 5 publications

References 20 publications

Delayed small bowel perforation after accidental bread clip ingestion

Delayed small bowel perforation after accidental bread clip ingestion

Endoscopic management of multiple broken scalpel blades in the gastrointestinal tract: a case report

A case series of bread clip ingestions

Contact Info

Product

Resources

About