Most ingested foreign bodies often pass through the gastrointestinal tract uneventfully; however, complications such as perforation do occur. Most cases of perforation are caused by thin, pointed objects such as needles, toothpicks, or fish and chicken bones. Herein, we report an unusual case of duodenal perforation caused by a lollipop stick with blunt ends. A 23-year-old woman was admitted to the emergency department complaining of epigastric and right upper quadrant pain for the last 2 days. Abdominal computed tomography scans confirmed the presence of a foreign body in the duodenum, with signs of duodenal perforation and inflammation. The patient was not aware of ingesting the foreign body. Endoscopy revealed the presence of a lollipop stick in the duodenum, which was removed with forceps. The duodenal perforation was successfully managed by using hemoclips and a detachable snare.

Citations

Citations to this article as recorded by  

• Duodenal perforation in a child due to lollipop stick ingestion: A case report
  Hercules Magalhães Olivense do Carmo, Miguel Lucas Silva Valente, Sthefanie da Silva Bessa, Pedro Lucas Melo Brilhante, Melayne Silva de Oliveira, Luana Livelli Becker, João Lucas de Melo Bardi, Angela Claudia Paixão Soares de Magalhães
  Journal of Pediatric Surgery Case Reports.2025; 114: 102944.     CrossRef
• Ingestion of Metallic Materials Found in the Stomach and First Part of the Duodenum of a Schizophrenic Man: Case Report
  Telila Mesfin, Yohannes Tekalegn, Mudesir Aman, Girma Geta, Adugna Ketema, Fekata Defere, Dejene Girma, Mesfin Tsegaye, Takele Mengistu, Kenbon Seyoum
  International Medical Case Reports Journal.2022; Volume 15: 681.     CrossRef
• Lollipop in a haystack: an unusual case of foreign body caecal perforation mimicking appendicitis
  Georgia M. Carroll, Francesco Amico, Liam Shun, Cino Bendinelli
  ANZ Journal of Surgery.2021; 91(6): 1311.     CrossRef
• Endoscopic Removal of Sharp-Pointed Foreign Bodies with Both Sides Embedded into the Duodenal Wall in Adults: A Retrospective Cohort Study
  Meihong Yu, Kaixuan Li, Shishuang Zhou, Hanyu Wang, Meixian Le, Chen Li, Deliang Liu, Yuyong Tan
  International Journal of General Medicine.2021; Volume 14: 9361.     CrossRef
• Diagnosis and management of duodenal perforations: a narrative review
  Daniel Ansari, William Torén, Sarah Lindberg, Helmi-Sisko Pyrhönen, Roland Andersson
  Scandinavian Journal of Gastroenterology.2019; 54(8): 939.     CrossRef
• Endoscopic management of gastric perforation secondary to chicken bone: A report of 2 cases
  M Masood Sidiqi, Siddhanth Sharma, Ausama H Muhammed
  International Journal of Surgery Case Reports.2019; 65: 305.     CrossRef
• Duodenal perforation due to an ingested lollipop stick in a 7-year-old boy
  Jinyoung Park
  Journal of Pediatric Surgery Case Reports.2019; 51: 101325.     CrossRef
• Ileocecal junction perforation caused by a sewing needle in incarcerated inguinal hernia
  Shiqi Liu, Qifeng Li, Yumei Li, Yi Lv, Jianhua Niu, Quan Xu, Jingru Zhao, Yajun Chen, Dayong Wang, Ruimiao Bai
  Medicine.2018; 97(22): e10787.     CrossRef
• A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis
  Bhavtosh Dedania, Dipen Khanapara, Amruta Panwala, Murali Dharan
  Case Reports in Gastroenterology.2017; 10(3): 800.     CrossRef
• Tendency to Ingest Foreign Bodies in Mentally Retarded Patients: A Case with Ileal Perforation Caused by the Ingestion of a Teaspoon
  İhsan Yıldız, Yavuz Savaş Koca, Gökhan Avşar, İbrahim Barut
  Case Reports in Surgery.2016; 2016: 1.     CrossRef
• A case report of successful removal of multiples sewing needles in the gastrointestinal tract and pancreas using intraoperative C-arm fluoroscopy
  Baongoc Nasri, Ken Yuu, Masanori Tada
  International Journal of Surgery Case Reports.2016; 24: 166.     CrossRef
• An unusual case of duodenal perforation caused by a blister pack: A case report and literature review
  Si-Yuan Yao, Yugo Matsui, Souichi Shiotsu
  International Journal of Surgery Case Reports.2015; 14: 129.     CrossRef
• Highlights from the 50th Seminar of the Korean Society of Gastrointestinal Endoscopy
  Eun Young Kim, Il Ju Choi, Kwang An Kwon, Ji Kon Ryu, Seok Ho Dong, Ki Baik Hahm
  Clinical Endoscopy.2014; 47(4): 285.     CrossRef
• Endoscopic removal of a metallic touchpad stylus with partially collapsible body from the duodenojejunal flexure in a young boy
  Ramnik V Patel, Dhaval Govani, Juliette King King, Oliver Gee
  BMJ Case Reports.2014; 2014: bcr2014207391.     CrossRef

Duodenal neuroendocrine tumors (NETs) are rare neoplasms. In this study, the medical records of 14 patients with duodenal NETs diagnosed at Chonnam National University Hospital from July 2001 to August 2011 were reviewed and analyzed retrospectively. Four patients were diagnosed in the first 5 years, and 10 patients were diagnosed in the latter 5 years of the study. Ten of 12 patients (83.3%) who underwent endoscopic biopsy were confirmed to have NET before resection. Endoscopic resection was performed in 12 patients, surgical resection in one patient, and regular follow-up in one patient who refused resection. None of the patients showed recurrence or distant metastasis. Duodenal NETs are increasingly observed and are mostly detected during screening upper gastrointestinal endoscopy. Careful endoscopic examination and biopsy can improve the diagnostic yield of NETs. Most well-differentiated, nonfunctional duodenal NETs that are limited to the mucosa/submucosa can be treated effectively with endoscopic resection.

Citations

Citations to this article as recorded by  

• Prevalence and risk factors for lymph node metastasis in duodenal neuroendocrine tumors: a systematic review and meta-analysis
  Yohei Ogata, Waku Hatta, Takeshi Kanno, Yutaka Hatayama, Masahiro Saito, Xiaoyi Jin, Tomoyuki Koike, Akira Imatani, Yuhong Yuan, Atsushi Masamune
  Journal of Gastroenterology.2025;[Epub]     CrossRef
• Endoscopic management of gastric, duodenal and rectal NETs: Position paper from the Italian Association for Neuroendocrine Tumors (Itanet), Italian Society of Gastroenterology (SIGE), Italian Society of Digestive Endoscopy (SIED)
  Francesco Panzuto, Maria Caterina Parodi, Gianluca Esposito, Sara Massironi, Alberto Fantin, Renato Cannizzaro, Massimo Milione, Claudio Giovanni De Angelis, Bruno Annibale
  Digestive and Liver Disease.2024; 56(4): 589.     CrossRef
• Conventional endoscopic mucosal resection versus modified endoscopic mucosal resection for duodenal neuroendocrine tumor
  Jin Hee Noh, Do Hoon Kim, Kwangbeom Park, Hee Kyong Na, Ji Yong Ahn, Jeong Hoon Lee, Kee Wook Jung, Kee Don Choi, Ho June Song, Gin Hyug Lee, Hwoon-Yong Jung
  Surgical Endoscopy.2023; 37(5): 3884.     CrossRef
• The meaning of R1 resection after endoscopic removal of gastric, duodenal and rectal neuroendocrine tumors
  Gianluca Esposito, Elisabetta Dell’Unto, Irene Ligato, Matteo Marasco, Francesco Panzuto
  Expert Review of Gastroenterology & Hepatology.2023; 17(8): 785.     CrossRef
• Duodenal neuroendocrine tumors: Short-term outcomes of endoscopic submucosal dissection performed in the Western setting
  Sunil Gupta, Puja Kumar, Rocio Chacchi, Alberto Murino, Edward J Despott, Arnaud Lemmers, Mathieu Pioche, Michael J. Bourke
  Endoscopy International Open.2023; 11(11): E1099.     CrossRef
• Management of Duodenal Neuroendocrine Tumors: Surgical versus Endoscopic Mucosal Resection
  Catherine G. Tran, Scott K. Sherman, Mohammed O. Suraju, Apoorve Nayyar, Henning Gerke, Rami G. El Abiad, Chandrikha Chandrasekharan, Po Hien Ear, Thomas M. O’Dorisio, Joseph S. Dillon, Andrew M. Bellizzi, James R. Howe
  Annals of Surgical Oncology.2022; 29(1): 75.     CrossRef
• Endoscopic mucosal resection using a ligation device for duodenal neuroendocrine tumors: a simple method
  Yasuhiro Inokuchi, Kei Hayashi, Yoshihiro Kaneta, Yoichiro Okubo, Mamoru Watanabe, Mitsuhiro Furuta, Nozomu Machida, Shin Maeda
  Therapeutic Advances in Gastrointestinal Endoscopy.2022;[Epub]     CrossRef
• Survival and Disease Recurrence in Patients with Duodenal Neuroendocrine Tumours—A Single Centre Cohort
  Oddry Folkestad, Hans H. Wasmuth, Patricia Mjønes, Reidun Fougner, Øyvind Hauso, Reidar Fossmark
  Cancers.2021; 13(16): 3985.     CrossRef
• Comparison of endoscopic resection techniques for duodenal neuroendocrine tumors: systematic review
  Helcio Pedrosa Brito, Isabela Trindade Torres, Karine Corcione Turke, Artur Adolfo Parada, Jaques Waisberg, Ricardo Vieira Botelho
  Endoscopy International Open.2021; 09(08): E1214.     CrossRef
• The Role of Endoscopy in Small Bowel Neuroendocrine Tumors
  Ji Yoon Yoon, Nikhil A. Kumta, Michelle Kang Kim
  Clinical Endoscopy.2021; 54(6): 818.     CrossRef
• Systematic review: management of localised low‐grade upper gastrointestinal neuroendocrine tumours
  Klaire Exarchou, Nathan Howes, David Mark Pritchard
  Alimentary Pharmacology & Therapeutics.2020; 51(12): 1247.     CrossRef
• Duodenal Neuroendocrine Tumour Resection with a New Duodenal Full-Thickness Resection Device
  João Cortez-Pinto, Susana Mão de Ferro, Joana Castela, Isabel Claro, Paula Chaves, António Dias Pereira
  GE - Portuguese Journal of Gastroenterology.2020; 27(4): 290.     CrossRef
• Endoscopic Resection of Duodenal Carcinoid Tumors
  Nadim Mahmud, Yutaka Tomizawa, Kristen Stashek, Bryson W. Katona, Gregory G. Ginsberg, David C. Metz
  Pancreas.2019; 48(1): 60.     CrossRef
• Neuroendocrine Carcinoma of Duodenum—an Uncommon Tumour at an Unusual Site
  Palki Dewan, Shubha P. Bhat, H. L. Kishan Prasad, Rajesh Ballal, K. Sajitha
  Indian Journal of Surgical Oncology.2019; 10(1): 199.     CrossRef
• Non-functional duodenal neuroendocrine carcinoma: a rare cause of diabetes mellitus
  Chad Bisambar, Andrew Collier, Fraser Duthie, Carron Meney
  Endocrinology, Diabetes & Metabolism Case Reports.2018;[Epub]     CrossRef

Citations

Citations to this article as recorded by  

• A novel technique using endoscopic band ligation for removal of long-stalked (>10 mm) pedunculated colon polyps
  Hyun Ho Choi, Chang Whan Kim, Hyung-Keun Kim, Sang Woo Kim, Sok Won Han, Kyung Jin Seo, Hiun-Suk Chae
  Saudi Journal of Gastroenterology.2021; 27(5): 296.     CrossRef
• Endoscopic polypectomy devices
  Vinay Chandrasekhara, Nikhil A. Kumta, Barham K. Abu Dayyeh, Manoop S. Bhutani, Pichamol Jirapinyo, Kumar Krishnan, John T. Maple, Joshua Melson, Rahul Pannala, Mansour A. Parsi, Amrita Sethi, Guru Trikudanathan, Arvind J. Trindade, David R. Lichtenstein
  VideoGIE.2021; 6(7): 283.     CrossRef
• Prophylactic clip application for large pedunculated polyps before snare polypectomy may decrease immediate postpolypectomy bleeding
  Jae Seung Soh, Myeongsook Seo, Kyung-Jo Kim
  BMC Gastroenterology.2020;[Epub]     CrossRef
• Management of colonic polyps: an advancing discipline
  Amir Klein, Michael J. Bourke
  ANZ Journal of Surgery.2017; 87(5): 327.     CrossRef
• Massive post‐polypectomy hemorrhage: Successful tulip‐bundle technique with endoloop for hemostasis
  Hsu‐Heng Yen, Chia‐Wei Yang, Shun‐Sheng Wu, Maw‐Soan Soon
  Advances in Digestive Medicine.2016; 3(3): 128.     CrossRef
• Advanced Polypectomy and Resection Techniques
  Amir Klein, Michael J. Bourke
  Gastrointestinal Endoscopy Clinics of North America.2015; 25(2): 303.     CrossRef
• Comparison of clipping with and without epinephrine injection for the prevention of post‐polypectomy bleeding in pedunculated colon polyps
  Yehyun Park, Tae Joo Jeon, Ji Young Park, Soo Jung Park, Jae Hee Cheon, Tae Il Kim, Won Ho Kim, Sung Pil Hong
  Journal of Gastroenterology and Hepatology.2015; 30(10): 1499.     CrossRef
• Endoscopic haemostasis: An overview of procedures and clinical scenarios
  Jérémie Jacques, Romain Legros, Stanislas Chaussade, Denis Sautereau
  Digestive and Liver Disease.2014; 46(9): 766.     CrossRef
• Advanced Endoscopic Resection of Colorectal Lesions
  Andres Sanchez-Yague, Tonya Kaltenbach, Gottumukkala Raju, Roy Soetikno
  Gastroenterology Clinics of North America.2013; 42(3): 459.     CrossRef
• A Cost-efficacy Decision Analysis of Prophylactic Clip Placement After Endoscopic Removal of Large Polyps
  Neehar D. Parikh, Kyle Zanocco, Rajesh N. Keswani, Andrew J. Gawron
  Clinical Gastroenterology and Hepatology.2013; 11(10): 1319.     CrossRef
• Fat Polyp, Thin Blood: Think Clip!
  Laura Borodyansky, John R. Saltzman
  Clinical Gastroenterology and Hepatology.2013; 11(10): 1333.     CrossRef