Review of literature 79 journal articles 88 patients 1. Demography and clinical manifestations Gender 64(73%)males, 24(27%)females The mean age: 50.4+ 186y(11-86 y signs and symptoms: abdominal pain(77.3%), fever (58%), omiting(19.3%) and nausea(13.6% only 5% of patients reported a positive history of foreign body Ingestion.Review of literature 79 journal articles 88 patients 1.Demography and clinical manifestations Gender:64 (73%) males , 24 (27%) females. The mean age :50.4 ± 18.6 y (11 -86 y). signs and symptoms : abdominal pain (77.3%) , fever (58%) ,vomiting (19.3%) and nausea(13.6%). only 5% of patients reported a positive history of foreign body ingestion