A 40-year-old male accidentally swallowed a titanium reamer, a dental instrument, while having a root canal treatment. He was referred to the gastroenterology division when the instrument did not get excreted. Physical examination BP: 108/75 mm Hg Heart rate: 73 bpm Body temperature: 36.7°C Soft, flat abdomen No pain, tenderness, and rebound tenderness Laboratory examination Elevated WBC count (9,700/μL) No other abnormality Abdominal radiography No abnormal gas or free air. Abdominal contrast-enhanced CT image has been provided. Fluoroscopy-guided lower gastrointestinal endoscopy images have also been provided. What is your diagnosis and what can be done? *This patient case is from Docplexus Editorial Team for educative purpose only.
Source: Tsukamoto R. · Miyano S. · Machida M. · Kitabatake T. · Fujisawa M. · Kojima K. Case Rep Gastroenterol 2018;12:551–555 The answer has…
