Abstract

Accidental foreign body ingestion in elderly patients presents unique diagnostic and therapeutic challenges, especially when complicated by comorbidities such as dementia. We report the case of an 87-year-old man with dementia who unintentionally swallowed a segment of a plastic chopstick. Initial esophagogastroduodenoscopy did not reveal the foreign body, but a subsequent abdominal computed tomography scan identified a 5.5 cm rod-like  object in the jejunum. The foreign body was successfully removed via single-balloon enteroscopy, and the patient recovered without complications. This  case highlights the importance of prompt diagnosis and the utility of advanced endoscopic techniques in managing small bowel foreign bodies in elderly  patients.