Atypical Foreign Body Ingestion for Suicide

The ingestion of foreign bodies can cause severe health issues such as bleeding, perforations, and obstructions. The majority of gastrointestinal foreign bodies discovered in adults result from intentional ingestion, often found in patients with preexisting psychiatric conditions. In the literature, there are few similar cases of voluntary ingestion of a fork that has passed through the esophagus to the duodenum. We present a case of a 33-year-old man with a psychiatric disorder who presented to the emergency room five months after ingesting a fork, which was discovered incidentally during imaging evaluations. He had complained of epigastric pain lasting for a month, leading to the search for a cause. An abdominopelvic CT scan revealed a linear structure in the D2 and D3 segments, creating a metallic artifact, obstructing wall exploration, and measuring 9x136 mm. The patient underwent surgical extraction via laparotomy under general anesthesia, and the postoperative course was uneventful.