Nailed It! A Case Report of Multiple Metallic Foreign Body Ingestion.

Intentional foreign body ingestion is often seen in individuals with psychiatric disorders, particularly mood and personality disorders. This case illustrates the substantial healthcare resources involved in managing foreign body ingestion, which may require multiple endoscopic procedures and intensive care monitoring. Endoscopic removal, while minimally invasive, carries risks such as perforation and bleeding, particularly in the upper gastrointestinal tract. Surgical intervention in psychiatric patients can inadvertently reinforce maladaptive behaviors, complicating management strategies. Therefore, a collaborative approach between psychiatry and gastroenterology is essential to address both the medical and psychological aspects of care.