Abstract
RATIONALE: Foreign body ingestion in children is a medical emergency, with severe cases posing life-threatening risks. Swallowing blades is an extremely rare and critical emergency requiring immediate medical intervention. The blades may cause perforation or bleeding in the gastrointestinal tract at any time, threatening the patient's life. This case report aims to provide treatment process and experience for dealing with this condition. PATIENT CONCERNS: A 14-year-old girl was hospitalized for swallowing 6 blades. INTERVENTIONS AND OUTCOMES: Upon hospital admission, an emergency esophagogastroduodenoscopy was immediately performed. One blade was removed under emergency esophagogastroduodenoscopy, and the other 5 blades had entered the intestine and could not be removed endoscopically. After conservative medical treatment, the rest blades remarkably and naturally passed without surgical intervention. And the patient was discharged from the hospital without obvious discomfort. LESSONS: Ingesting blades might lead to serious or fatal complications that require urgent surgical treatment. Strict medical management and timely assessment of the condition are very important for passage of ingested blades, which may avoid surgical procedures. This report provides valuable insights and guidance for clinicians in the management of patients with swallowing blades.