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A 19-year-old man with no significant medical history presented to the Emergency Department
after swallowing a spoon incidentally. He had a recent 3-day history of sore throat
and dry cough without shortness of breath, fever, or chills. While using a teaspoon
as a tongue depressor, he experienced a strong gag reflex pulling the spoon involuntarily
into the oropharynx then more distally into the gastrointestinal tract. After the
ingestion, he had mild nausea, but denied any vomiting, abdominal pain, or discomfort.
Laboratory work-up revealed normal complete blood count and chemistry. Two-view abdominal
X-ray study revealed a 16-cm radiopaque spoon overlying the distal body and gastric
antrum of the stomach, which was mildly distended with air and fluid. There was a
moderate amount of intraluminal fecal debris in the colon. However, there was no free
air or fluid seen (Figure 1, Figure 2). He is a successful college student who denied any history of medical or psychiatric
disease, including pica or depression. He denied taking any medication and his family
history was negative for any relevant diseases.
Figure 1AP abdominal X-ray view revealing a 16-cm radiopaque spoon overlying the distal body
and gastric antrum of the stomach, which was mildly distended with air and fluid.
There was a moderate amount of intraluminal fecal debris in the colon.
