Foreign body ingestion is a frequent gastrointestinal emergency. However, long spoon swallowing is a rare event. Most swallowed spoons have been found in the stomach. Previously, there has been no reported case of a long spoon reaching the jejunum.
A research article to be published on October 21, 2009 in the World Journal of Gastroenterology reports a case of accidentially swallowing of a long spoon. A 33-year-old woman complained that she attempted to use the spoon to remove a fish bone, which was lodge in the pharynx 20 h before. She had no abdominal pain, fever, vomiting, dysphagia, voice change, cough, or difficulty breathing. An urgent plain abdominal radiograph revealed a metallic foreign body in the lower mid-abdomen. Several times of attempt to remove the spoon were failed because the patient could not resist the nausea when the spoon was pulled to the cardia. She had to be taken to operating room for an exploratory laparotomy which disclosed that a 15 cm spoon was passed into the jejunum following about 200 cm of the ligament of Treitz. After the operation, the patient was well and was discharged home on postoperative day 7.
Reference: Song Y, Guo H, Wu JY. Travel of a mis-swallowed long spoon to the jejunum. World J Gastroenterol 2009; 15(39): 4984-4985
Correspondence to: Jian-Yong Wu, MD, Kidney Disease Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, No. 79 Qingchun Road, Hangzhou 310003, Zhejiang Province, China. email@example.com
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About World Journal of Gastroenterology
World Journal of Gastroenterology (WJG), a leading international journal in gastroenterology and hepatology, has established a reputation for publishing first class research on esophageal cancer, gastric cancer, liver cancer, viral hepatitis, colorectal cancer, and H. pylori infection and provides a forum for both clinicians and scientists. WJG has been indexed and abstracted in Current Contents/Clinical Medicine, Science Citation Index Expanded (also known as SciSearch) and Journal Citation Reports/Science Edition, Index Medicus, MEDLINE and PubMed, Chemical Abstracts, EMBASE/Excerpta Medica, Abstracts Journals, Nature Clinical Practice Gastroenterology and Hepatology, CAB Abstracts and Global Health. ISI JCR 2008 IF: 2.081. WJG is a weekly journal published by WJG Press. The publication dates are the 7th, 14th, 21st, and 28th day of every month. WJG is supported by The National Natural Science Foundation of China, No. 30224801 and No. 30424812, and was founded with the name of China National Journal of New Gastroenterology on October 1, 1995, and renamed WJG on January 25, 1998.