Traditionally, exploratory laparotomy has been the mainstay of treatment for patients requiring surgery in the emergency setting; however with increased benefits of laparoscopic approach, surgeons are more tempted to use laparoscopy in the emergency setting also. A 51–year-old man presented to the emergency department with acute abdominal pain secondary to small bowel obstruction by a foreign body. The patient underwent a laparoscopic operation and removal of foreign body by a small enterotomy without any complications and made a good recovery. This case and review of literature demonstrates that laparoscopic approach is a feasible option for treatment and diagnosis of selected small bowel obstructions.

Keywords: Ingestion of foreign body, Laparoscopic approach, Small bowel obstruction