The presentation.
A patient presented acutely after ingestion of a sharp foreign body. Plain radiographs localised the object to the upper GI tract. Surgical exploration was avoidable provided the object could be retrieved without further mucosal injury.
The retrieval.
Upper GI endoscopy was performed with a rat-tooth forceps and an overtube protector hood, the standard safe-extraction setup for sharp foreign bodies. The object was retrieved cleanly. Post-procedure inspection revealed no significant mucosal injury, and the patient was discharged the same day.
Why this case is here
Sharp foreign-body ingestion is, per our 2019 series, disproportionately common in Kashmir compared to most published cohorts. A practice that handles a high volume of these cases develops the workflow (preparedness kits, protector hoods, sedation protocols) that makes the procedure routine rather than improvised.