The Cutting Edge: a 17-Year-Old Female with Razor Blade Ingestion.

Abstract

A 17-year-old girl presented to our Emergency Department after reporting ingestion of multiple razor blades. She endorsed sharp abdominal pain and had epigastric abdominal tenderness without rebound or guarding. Abdominal X-ray revealed many rectangular, high-density objects projecting over the left abdomen without evidence of obstruction or perforation (Fig. 1). The patient underwent urgent esophagogastroduodenoscopy. Multiple safety blades were noted in the stomach with abrasions throughout the distal esophagus and stomach (Fig. 2). Given their unusual shape, attempts to remove the razors using an overtube were unsuccessful. We were able to remove all razors using raptor forceps grasped on 1 end and an endoscopic protector hood, without further injury to the mucosa postprocedure. The patient was discharged the following day with psychiatry follow-up.