##submission.abstract##
Sharp foreign body ingestions are reported variedly in literature and their management still lacks standardization. Though its presentation is quite common in psychiatric asylums, presentation to the emergency room as a primary case is challenging to the working residents. Here we present a case of razor blade ingestion by a 19 year old female following mental conflict. Abdominal x-ray revealed multiple small radio-opaque shadows. Patient was managed conservatively with regular monitoring without any endoscopic or surgical intervention. The experience of the authors of the nonsurgical and non-endoscopic management in absence of peritonism in sharp foreign body ingestion as a standard of care could be an avenue for the resources in the future.