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Endoscopic Removal of Multiple Toothbrushes: A Case Report.
Young Woo Chae1, Ilsoo Kim1,2, Woon Geon Shin1
1Department of Internal Medicine, Hallym University Kangdong Sacred Heart Hospital, Seoul, Korea.
Summary
Endoscopic removal of eight toothbrushes from a patient
Area of Science:
- Gastroenterology
- Endoscopy
- Emergency Medicine
Background:
- Foreign body ingestion is a frequent medical emergency requiring endoscopic intervention.
- Unusual shapes like toothbrushes pose removal challenges, risking complications such as perforation.
Observation:
- A 26-year-old asymptomatic woman presented with multiple ingested toothbrushes.
- Radiography confirmed numerous toothbrushes within the stomach.
Findings:
- Emergency endoscopy successfully removed eight toothbrushes without sedation.
- A combination of snare and neck hyperextension facilitated the removal of five gastric and three duodenal toothbrushes.
Implications:
- This case demonstrates safe, non-surgical endoscopic removal of complex foreign bodies.
- Customized endoscopic techniques are crucial for managing unusual foreign body ingestions, even in large numbers.
