@article{ref1,
title="Ingestion of nine metallic nails with corrosive: what happened next?",
journal="BMJ case reports",
year="2017",
author="Vats, Manu and Ramasamy, Sadhasivam and Neogi, Sushanto and Tudu, Sanjeev Kumar",
volume="2017",
number="",
pages="bcr2017222338, bcr-2017",
abstract="A 20-year-old woman was brought to the surgery emergency department with the complaint of epigastric pain since 1 day following ingestion of multiple metallic nails with a cup full of toilet cleaner (corrosive acid) with a suicidal intention. Physical examination was essentially unremarkable, and the abdomen showed no signs of perforation peritonitis. X-rays of the abdomen showed multiple 'nail'-like radiopaque shadows in the abdominal cavity with no evidence of free gas under the domes of the diaphragm. A non-operative expectant management was pursued. The patient had passed all the sharps in stools without any complication and was discharged after 12 days. After 3 weeks, the patient presented with non-bilious vomiting. Further investigations revealed pyloric stenosis with no oesophageal luminal stenosis. To bypass the pyloric stenosis, a Billroth II gastrojejunostomy was performed. The postoperative period was uneventful, and the recovery was smooth.<p /><p>Language: en</p>",
language="en",
issn="1757-790X",
doi="10.1136/bcr-2017-222338",
url="http://dx.doi.org/10.1136/bcr-2017-222338"
}