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Plastic bread clip impacted in gastrointestinal tract: a case report and review of the literature.
Clin J Gastroenterol. 2019 Oct; 12(5):441-446.CJ

Abstract

A 79-year-old initially presented to her general practitioner for a 6-week history of nausea, intermittent abdominal pain and altered bowel habits. Colonoscopy was performed to investigate her symptoms and revealed a bread clip that was adherent to the sigmoid colon mucosa, unable to be retrieved. A CT scan was performed to exclude any associated complication, which showed no evidence of perforation or collection. A repeat colonoscopy by a more experienced endoscopist again failed to retrieve the bread clip. Eventually, the bread clip had to be removed through a laparotomy and colotomy. We performed a thorough literature review, which revealed 26 studies (totalling 38 cases) of bread clip ingestion. Many of the reported cases presented with abdominal pain, bowel obstruction, or perforation and carried a small mortality risk.

Authors+Show Affiliations

Colorectal Surgery Unit, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia. liewamos@gmail.com.Colorectal Surgery Unit, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia. Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia.Colorectal Surgery Unit, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia.Colorectal Surgery Unit, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia. Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Melbourne, VIC, Australia.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

30915673

Citation

Liew, Amos Nepacina, et al. "Plastic Bread Clip Impacted in Gastrointestinal Tract: a Case Report and Review of the Literature." Clinical Journal of Gastroenterology, vol. 12, no. 5, 2019, pp. 441-446.
Liew AN, Suhardja TS, Arachchi A, et al. Plastic bread clip impacted in gastrointestinal tract: a case report and review of the literature. Clin J Gastroenterol. 2019;12(5):441-446.
Liew, A. N., Suhardja, T. S., Arachchi, A., & Lim, J. (2019). Plastic bread clip impacted in gastrointestinal tract: a case report and review of the literature. Clinical Journal of Gastroenterology, 12(5), 441-446. https://doi.org/10.1007/s12328-019-00962-2
Liew AN, et al. Plastic Bread Clip Impacted in Gastrointestinal Tract: a Case Report and Review of the Literature. Clin J Gastroenterol. 2019;12(5):441-446. PubMed PMID: 30915673.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Plastic bread clip impacted in gastrointestinal tract: a case report and review of the literature. AU - Liew,Amos Nepacina, AU - Suhardja,Thomas Surya, AU - Arachchi,Asiri, AU - Lim,James, Y1 - 2019/03/26/ PY - 2018/09/27/received PY - 2019/03/07/accepted PY - 2019/3/28/pubmed PY - 2020/2/25/medline PY - 2019/3/28/entrez KW - Bread clip KW - Bread tag KW - Colonoscopy KW - Computed tomography KW - Laparotomy SP - 441 EP - 446 JF - Clinical journal of gastroenterology JO - Clin J Gastroenterol VL - 12 IS - 5 N2 - A 79-year-old initially presented to her general practitioner for a 6-week history of nausea, intermittent abdominal pain and altered bowel habits. Colonoscopy was performed to investigate her symptoms and revealed a bread clip that was adherent to the sigmoid colon mucosa, unable to be retrieved. A CT scan was performed to exclude any associated complication, which showed no evidence of perforation or collection. A repeat colonoscopy by a more experienced endoscopist again failed to retrieve the bread clip. Eventually, the bread clip had to be removed through a laparotomy and colotomy. We performed a thorough literature review, which revealed 26 studies (totalling 38 cases) of bread clip ingestion. Many of the reported cases presented with abdominal pain, bowel obstruction, or perforation and carried a small mortality risk. SN - 1865-7265 UR - https://www.unboundmedicine.com/medline/citation/30915673/Plastic_bread_clip_impacted_in_gastrointestinal_tract:_a_case_report_and_review_of_the_literature_ L2 - https://dx.doi.org/10.1007/s12328-019-00962-2 DB - PRIME DP - Unbound Medicine ER -