RT Journal Article SR Electronic T1 Obstruction and perforation of the small bowel caused by inadvertent ingestion of a blister pill pack in an elderly patient JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr2015212822 DO 10.1136/bcr-2015-212822 VO 2015 A1 Al-Ramahi, Ghassan A1 Mohamed, Mohamed A1 Kennedy, Kristin A1 McCann, Michael YR 2015 UL http://casereports.bmj.com/content/2015/bcr-2015-212822.abstract AB Perforation of the small bowel due to foreign body ingestion is a rare instance that occurs in less than 1% of all ingestions. Although rare, ingestion of blister pill packaging is becoming more recognised as a causative agent for intestinal perforation, but is very rarely reported to cause intestinal obstruction. This is a report of a 66-year-old woman who presented with intestinal obstruction and underwent laparotomy, revealing small bowel perforation by a piece of blister pill pack foil. The patient was incognisant of the ingestion.