Conservative Management of Ingested Metal Nails: A case Report

We present a case of 18 years old male carpenter, who presented with on and off vomitings. To rule out the cause investigations were done. Upper gastro intestinal endoscopy revealed hundreds of metal nails in stomach. Psychiatrical assessment was done and he was found normal. No intervention was done, as the patient remained uneventful during the course of treatment. He was advised Psyllium husk, which increased the faecal bulk and bowel motility. Patient passed all the metal nails with faeces uneventfully, which were witnessed by a series of X-ray abdomen. This case is unique in presentation as well as in its conservative management.