A case of foreign body discovered due to gastrointestinal bleeding

Abstract

We experienced a rare case that foreign body discovered due to duodenal bleeding with duodenal ulcer, and we successed in picking it up by using gastrointestinal endoscopy. A healthy 50-year-old man had symptoms of tarry stool and feeling dizzy. He was suspected gastrointestinal tract bleeding. So he was introduced to our hospital immediately. On arrival, he was anemic (Hb 9.8g/dl) . We found a duodenal ulcer on second potion by gastrofiberscopy. At the same time, we found a foreign body with penetration through the duodenum at of the opposite wall of the ulcer. We picked up the foreign body by using a forceps. The foreign body was a 25mm long-shaped metallic needle. We treated by proton pomp inhibiter. There were no complications through his duration of hospitalized stays. He traced good passage and discharged after 6 days. By the way, we asked him detailed questions about his clinical history, especially about swallowing foreign bodies, he didn't remember those episodes. So the cause of foreign body ingestion was unidentified.