International Journal For Multidisciplinary Research

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An Unusual Stepler Pin Bezoar of Stomach and Colon - A Case Report

Author(s) Dr. Aniket B. Deshmukh, Dr. Vasundhara Deo
Country India
Abstract Abstract
Background:
Bezoars are accumulations of indigestible material within the gastrointestinal tract, most commonly in the stomach. Metallic foreign‑body bezoars are rare and may lead to complications such as obstruction, bleeding, or perforation.
Case Presentation:
A 16‑year‑old male presented with melena following accidental ingestion of multiple stapler pins. Imaging revealed numerous radiopaque foreign bodies throughout the stomach, small bowel, and colon, with focal clumping in the distal ileum. Endoscopic retrieval was attempted but unsuccessful. Over one week, the patient developed a gastric bezoar requiring exploratory laparotomy and gastrotomy, during which a 2.8‑cm metallic bezoar was removed. Intraoperative colonoscopy identified a fecolith with adherent pins in the sigmoid colon, which was managed conservatively and passed spontaneously.
Management and Outcome:
The postoperative course was uneventful. Serial abdominal radiographs demonstrated gradual clearance of residual foreign bodies. The patient was discharged on postoperative day 12 and remained asymptomatic at two‑month follow‑up.
Conclusion:
Metallic foreign‑body bezoars are uncommon but potentially hazardous. Early diagnosis, appropriate imaging, and timely intervention are essential to prevent complications. Surgical removal is effective when endoscopic retrieval fails. Psychiatric evaluation and preventive counselling are important to reduce recurrence risk.
Keywords Bezoar, Gastric bezoar, Foreign body ingestion, Stapler pins, Gastrotomy, Adolescent, Metallic bezoar,
Field Medical / Pharmacy
Published In Volume 8, Issue 1, January-February 2026
Published On 2026-02-13
DOI https://doi.org/10.36948/ijfmr.2026.v08i01.68971
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