Abstract

Foreign body ingestion (FBI) may elevate risk of cholangitis, liver abscess, peritonitis, pancreatitis and cholecystitis or even lead to perforations and obstructions. Despite, being a common clinical entity, there is paucity of literature on FBI cases from the UAE. We present here an interesting case of a 26-year-old female presenting with complaints of upper abdominal pain and nausea post-accidental, after swallowing a 13 cm piece of a broken toothbrush. Endoscopic examination revealed object being stuck in the duodenum with both ends inserted between the duodenal bulb and D2 part of duodenal mucosa in a vertical position which seemed xed. The object was successfully extracted by holding it from its proximal end and aligned to facilitate its extraction by passage through the pylorus, gastroesophageal junction, and the pharynx. The case highlights importance of quick approach in treatment of FBI and adds to real-world evidence base for treatment of this complex case

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