TY  - JOUR
PY  - 2017//
TI  - Ingestion of nine metallic nails with corrosive: what happened next?
JO  - BMJ case reports
A1  - Vats, Manu
A1  - Ramasamy, Sadhasivam
A1  - Neogi, Sushanto
A1  - Tudu, Sanjeev Kumar
SP  - bcr2017222338, bcr
EP  - 2017
VL  - 2017
IS  - 
N2  - 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>
LA  - en
SN  - 1757-790X
UR  - http://dx.doi.org/10.1136/bcr-2017-222338
ID  - ref1
ER  -