Zahra Haider,Amanda Chelednik,Jacob Quick, Operative Removal of 154 Objects in Chronic Compulsive Foreign Body Ingestion American Journal of Surgical Case Reports 2020 2674-5046 http://dx.doi.org/10.31487/j.AJSCR.2020.04.01 https://www.sciencerepository.org/operative-removal-of-154-objects-in-chronic-compulsive-foreign_AJSCR-2020-4-101 Abstract: Intentional foreign body ingestion presents as a chronic surgical challenge. We encountered a severe case of ingestion that had failed endoscopic retrieval secondary to the size, shape, and quantity of structures encountered. Open gastrostomy with removal of objects with care to prevent future hostile abdomen was performed with 154 total objects removed at completion. We report a lesson in approaching a clinical problem with thought to approach for the preservation of anatomical structures in potential future interventions.Keywords: Foreign body ingestion, open gastrotomy