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Accidental duodenal foreign body of toothbrush removed laparoscopically: a case report

BACKGROUND: Foreign body ingestion is a common case in daily medical care, and it usually passes through the entire gastrointestinal tract naturally and is excreted in the feces. However, long and sharp foreign bodies may be difficult to pass naturally due to their shape. Here, we present a rare cas...

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Autores principales: Soga, Masahiro, Tanaka, Tetsuya, Ueda, Takeshi, Kirihataya, Yuki, Yamaguchi, Yohei, Okura, Yasushi, Sawai, Masayoshi, Yoshimura, Atsushi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9329496/
https://www.ncbi.nlm.nih.gov/pubmed/35895183
http://dx.doi.org/10.1186/s40792-022-01501-x
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author Soga, Masahiro
Tanaka, Tetsuya
Ueda, Takeshi
Kirihataya, Yuki
Yamaguchi, Yohei
Okura, Yasushi
Sawai, Masayoshi
Yoshimura, Atsushi
author_facet Soga, Masahiro
Tanaka, Tetsuya
Ueda, Takeshi
Kirihataya, Yuki
Yamaguchi, Yohei
Okura, Yasushi
Sawai, Masayoshi
Yoshimura, Atsushi
author_sort Soga, Masahiro
collection PubMed
description BACKGROUND: Foreign body ingestion is a common case in daily medical care, and it usually passes through the entire gastrointestinal tract naturally and is excreted in the feces. However, long and sharp foreign bodies may be difficult to pass naturally due to their shape. Here, we present a rare case of a duodenal foreign body, a toothbrush, that required laparoscopic surgical removal after a failed endoscopic attempt. CASE PRESENTATION: A 51-year-old male with intellectual disability presented to our hospital due to fever. Initially, he was diagnosed with aspiration pneumonia by chest X-ray and blood examination. However, abdominal X-ray examination suggested a foreign body, and a computed tomography scan revealed a toothbrush in the duodenum. Therefore, upper gastrointestinal endoscopy was immediately attempted to remove it, but it could not be safely removed because the handle part of the toothbrush seemed deeply embedded in the duodenal mucosa. Therefore, this case was diagnosed as duodenal incarceration of the toothbrush, and it was removed by laparoscopic surgery. The operation was performed safely, and the patient’s postoperative course was good without any complications. The extracted toothbrush was 15 cm in length. CONCLUSION: We experienced a rare case of a duodenal foreign body, which was a toothbrush. The duodenal foreign body was safely removed by laparoscopic surgery for the first time.
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spelling pubmed-93294962022-07-29 Accidental duodenal foreign body of toothbrush removed laparoscopically: a case report Soga, Masahiro Tanaka, Tetsuya Ueda, Takeshi Kirihataya, Yuki Yamaguchi, Yohei Okura, Yasushi Sawai, Masayoshi Yoshimura, Atsushi Surg Case Rep Case Report BACKGROUND: Foreign body ingestion is a common case in daily medical care, and it usually passes through the entire gastrointestinal tract naturally and is excreted in the feces. However, long and sharp foreign bodies may be difficult to pass naturally due to their shape. Here, we present a rare case of a duodenal foreign body, a toothbrush, that required laparoscopic surgical removal after a failed endoscopic attempt. CASE PRESENTATION: A 51-year-old male with intellectual disability presented to our hospital due to fever. Initially, he was diagnosed with aspiration pneumonia by chest X-ray and blood examination. However, abdominal X-ray examination suggested a foreign body, and a computed tomography scan revealed a toothbrush in the duodenum. Therefore, upper gastrointestinal endoscopy was immediately attempted to remove it, but it could not be safely removed because the handle part of the toothbrush seemed deeply embedded in the duodenal mucosa. Therefore, this case was diagnosed as duodenal incarceration of the toothbrush, and it was removed by laparoscopic surgery. The operation was performed safely, and the patient’s postoperative course was good without any complications. The extracted toothbrush was 15 cm in length. CONCLUSION: We experienced a rare case of a duodenal foreign body, which was a toothbrush. The duodenal foreign body was safely removed by laparoscopic surgery for the first time. Springer Berlin Heidelberg 2022-07-27 /pmc/articles/PMC9329496/ /pubmed/35895183 http://dx.doi.org/10.1186/s40792-022-01501-x Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Soga, Masahiro
Tanaka, Tetsuya
Ueda, Takeshi
Kirihataya, Yuki
Yamaguchi, Yohei
Okura, Yasushi
Sawai, Masayoshi
Yoshimura, Atsushi
Accidental duodenal foreign body of toothbrush removed laparoscopically: a case report
title Accidental duodenal foreign body of toothbrush removed laparoscopically: a case report
title_full Accidental duodenal foreign body of toothbrush removed laparoscopically: a case report
title_fullStr Accidental duodenal foreign body of toothbrush removed laparoscopically: a case report
title_full_unstemmed Accidental duodenal foreign body of toothbrush removed laparoscopically: a case report
title_short Accidental duodenal foreign body of toothbrush removed laparoscopically: a case report
title_sort accidental duodenal foreign body of toothbrush removed laparoscopically: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9329496/
https://www.ncbi.nlm.nih.gov/pubmed/35895183
http://dx.doi.org/10.1186/s40792-022-01501-x
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