Quick eating caused plastic bread bag clip ingestion and severe gastrointestinal bleed in young adult: a case report

Peritonitis with small intestinal perforation caused by a plastic bread bag clip: A case report

“…However, some cases of gastrointestinal tract perforation or bleeding due to the ingestion of bread bag clips have been reported overseas. Between the 1975 and the 2010s, there were 30 cases reported that diagnosed ingestion of bread bag clips in foreign countries [ [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] ].…”

“…In this case, food residue that adhered to the bread bag clip had calcified and computed tomography clearly showed it as a high-density object allowing for the identification of gastrointestinal tract perforation due to a foreign body (although the object could not be identified as a bread bag clip). Recently some reports referred to usefulness of CT scan with 3D reconstruction to identify the bread bag clips [ 5 , 6 ]. Because of the calcification, it is suggested that a certain period of time had passed from the point of ingestion, but when and how the bread bag clip was ingested remain unknown.…”

“…Including the present case, 11 cases of small intestinal perforation, 1 case of colonic perforation, 1case of esophageal perforation, 2 cases of small bowel obstruction, and 3 cases of gastrointestinal tract bleeding were diagnosed due to accidental ingestion of bread bag clips (sourced from Pubmed from the 1975 to 2010s) [ [4] , [5] , [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] , [14] ]. Among these cases, 3 postoperative deaths occurred after surgery for gastrointestinal tract perforation.…”

Replacing plastic bread clips with cardboard will prevent bowel perforation

“…Of the people who ingest these clips, a surprisingly large proportion (20%) consists of healthy adult males who allegedly ate their meals too quickly 9,12,14,17,22,25,26,30,31 . That being said, the vast majority of cases are either elderly, edentulous, intoxicated, visually or cognitively impared 11,13,15,19,22–24,32–40 .…”

“…10,[21][22][23][24][25][26][27][28][29] Of the people who ingest these clips, a surprisingly large proportion (20%) consists of healthy adult males who allegedly ate their meals too quickly. 9,12,14,17,22,25,26,30,31 That being said, the vast majority of cases are either elderly, edentulous, intoxicated, visually or cognitively impared. 11,13,15,19,[22][23][24][32][33][34][35][36][37][38][39][40] In the latter cohorts, little can be done to prevent ingestion, instead the focus should be on preventing bowel perforation by modifying the material to one which is safer to ingest.…”