2025 Volume 45 Issue 3 Pages 412-416
Ingestion of a bread bag clip (BC) can result in complications such as gastrointestinal bleeding, perforation, and obstruction. Herein, we report a case of a 39-year-old man with mental retardation who presented with hematochezia. Abdominal CT revealed a calcified foreign body in the small intestine, and three-dimensional CT (3D-CT) identified it as a BC. Six days later, a follow-up CT showed the foreign body to be present at the same site. Partial small bowel resection was performed for clip removal. The clip had clasped all layers of the intestinal wall, which resulted in an internal fistula. According to previously reports, the incidence of gastrointestinal perforation following BC ingestion is as high as 29%; hence, BC, as a sharp foreign body, should be considered for early removal. In this case, a small-intestinal foreign body caused by accidental ingestion was diagnosed as a BC based on the shape using 3D-CT. We then determined that the BC had clasped the bowel wall, and surgically removed the clip. 3D-CT is useful for identifying the shape of a foreign body in the gastrointestinal tract and planning subsequent treatment.
