Ingestion of Multiple Sharp Foreign Objects with Spontaneous Passage

Foreign body ingestion is a common clinical problem and can be managed by observation, endoscopic removal and surgical retrieval. Multiple, long, pointed and sharp objects are more complicated to manage, and have a higher risk of complications such as obstruction, bleeding and perforation of the alimentary tract. It is sometimes difficult to make a decision regarding the most appropriate management. We report one patient who swallowed multiple foreign bodies, including more than ten nails, two staples, one length of wire and many coins. He refused endoscopic treatment and experienced several episodes of cramping abdominal pain. The ingested objects eventually passed without any complications. We present the clinical course and review papers about the management of foreign body ingestion.