Ingestion of foreign bodies, mostly common household utensils, is not unusual in adults, with higher prevalence in individuals who
are intoxicated, incarcerated, or mentally handicapped. These objects pass through the digestive tract in most cases, although some
require medical intervention to aid their removal. A small number of detained objects can remain unnoticed for a long time until
they cause complications through perforation and migration from the gastrointestinal tract. We describe the case of patient that was
admitted after approximately one day of abdominal pain. The patient denied the admission of a foreign object into the abdominal
cavity in any way. Ultimately, a tablespoon of 20 cm was taken from fibrous adhesions in the rectovesical pouch and septic shock
developed as a result of perforated jejuna. For reasons of respiratory insufficiency and circulatory instability, treatment was more
complicated for the patient.
Keywords: abdominal cavity, intestinal perforation, metal foreign body;
rectovesical pouch, soup spoon