Intentional nail ingestion with caecal impaction: colonoscopic removal using a cap-assisted technique.
Bhoowit Lerttiendamrong, Rachael Hagen, Aaron Kahlam et al.
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Case in brief
A woman with a history of recurrent nail ingestion presented with abdominal pain after swallowing multiple nails. Initial conservative management showed progressive migration of the nails, which clustered near the ileocaecal valve. A cap-assisted colonoscopy was performed, successfully removing all ingested nails without complications.
Diagnostic / clinical pearl
Clinicians should consider the possibility of lower gastrointestinal foreign body ingestion, particularly in patients with a history of recurrent ingestion.
Why it matters
This case highlights the effectiveness of cap-assisted colonoscopy for the removal of foreign bodies in the lower GI tract, an area less commonly addressed in endoscopic procedures.