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BMJ Case Rep. 2010; 2010: bcr0520103047.
Published online 2010 September 10. doi:  10.1136/bcr.05.2010.3047
PMCID: PMC3029655
Reminder of important clinical lesson

Accidental ingestion of a cocktail stick


Cocktail stick (CS) ingestion injury has rarely been reported in the literature. It is a serious clinical problem with considerable morbidity and mortality, largely due to the fact that the event is unnoticed by the patient. We report a case of CS ingestion that went unrecognised by the patient and caused a perforation in the mid-small bowel. We discuss how injuries from such events can become a diagnostic challenge. The history should be re-evaluated in any undiagnosed abdominal pain which has an unclear aetiology and negative radiology.

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