{
  "abstract": "Intentional ingestion of long gastrointestinal foreign bodies is uncommon in adults. Giant spoon impaction in the duodenum is exceptionally rare and usually requires surgery. A 28-year-old man intentionally ingested an 18-cm metallic spoon. Computed tomography demonstrated impaction in the second part of the duodenum. After initially refusing surgery, repeat imaging suggested extra-luminal extension. Laparotomy with complete Kocher mobilization enabled extraction through a pyloromyotomy, avoiding duodenotomy, followed by Heineke–Mikulicz pyloroplasty. He was discharged on postoperative day seven. Two and a half months later, he developed adhesive small bowel obstruction requiring adhesiolysis, with an uneventful recovery. Pyloromyotomy-assisted extraction is a feasible alternative for selected giant duodenal foreign bodies when endoscopic retrieval is not possible. This case also emphasizes the need for long-term follow-up because delayed adhesive small bowel obstruction may occur after laparotomy.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 3,
  "authors": [
    {
      "name": "Amir Zamani"
    },
    {
      "name": "Seyed Mahdi Tabatabaei Naeini"
    },
    {
      "name": "Milad Dodangeh",
      "orcid": "0000-0001-6974-7346"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/d745p1yx6drqw.bib",
  "cited_by": 0,
  "doi": "10.1093/jscr/rjag939",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13731756/",
  "id": "d745p1yx6drqw",
  "issns": [
    "2042-8812"
  ],
  "landing_url": "https://doi.org/10.1093/jscr/rjag939",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "AcademicSubjects/MED00910"
    ],
    [
      "heading",
      "Case Report"
    ],
    [
      "heading",
      "jscrep/040"
    ],
    [
      "openalex",
      "2733|Foreign Body Medical Cases"
    ]
  ],
  "openalex": "W7223254765",
  "pdf_url": "https://academic.oup.com/jscr/article-pdf/2026/10/rjag939/72371508/rjag939.pdf",
  "pmcid": "PMC13731756",
  "pmid": "42984854",
  "published": "2026-10-22",
  "publisher": "Oxford University Press",
  "ris": "https://research.draconitic.com/paper/d745p1yx6drqw.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:21:53Z",
      "native_id": "PMC13731756",
      "source": "pmc",
      "url": "https://doi.org/10.1093/jscr/rjag939"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2746|Gastrointestinal disorders and treatments",
      "subfield": "surgery"
    }
  ],
  "title": "Pyloromyotomy-assisted extraction of a neglected giant duodenal spoon complicated by delayed adhesive small bowel obstruction: a case report",
  "title_text": "Pyloromyotomy-assisted extraction of a neglected giant duodenal spoon complicated by delayed adhesive small bowel obstruction: a case report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:21:53Z",
  "url": "https://research.draconitic.com/paper/d745p1yx6drqw",
  "venue": "Journal of Surgical Case Reports",
  "versions": []
}