An unusual foreign body tooth brush in esophagus: a case report

Shashidhar K, Ashwin K. Hebbar, Leena K.

Abstract


We report a rare case of accidental toothbrush swallowing by a normal adult which was successfully removed by rigid esophagoscope. A 25 year young man presented to casualty of KIMS, Hubli, with ingestion of toothbrush accidentally half an hour before. Patient’s general physical examination and systemic examination was normal. Oral cavity, oropharynx and indirect laryngoscopic findings were normal. An emergency upper GI Endoscopy was done and foreign body was confirmed to be present at 35 cm from upper incisor teeth. Foreign body was removed by rigid esophagoscope under GA. Otolaryngologist is the most common medical faculty consulted for management of aero digestive foreign bodies. Toothbrush swallowing in normal adults is a rare accident. Most of them are found in esophagus and spontaneous passage is unknown and hence the need for early removal.


Keywords


Toothbrush, Esophagus, Rigid esophagoscopy

Full Text:

PDF

References


Kim IH, Kim HC, Koh KH, Kim SH, Kim SW, Lee SO, Lee ST. Journey of a swallowed toothbrush to the colon. Korean J Intern Med. 2007 Jun;22(2):106-8.

Ginsberg GG. Management of ingested foreign objects and food bolus impactions. Gastrointestinal Endoscopy. 1995; 41:33-38.

S. Gulati, R. Wadhera, J. Singh Gulia, A. Hooda. Tooth Brush in Stomach. The Internet Journal of Head and Neck Surgery 2007;1(2).

Faust J, Schreiner O. A swallowed toothbrush. Lancet. 2001;357:1012.

Kirk AD, Bowers BA, Moylan JA, Meyers WC. Tooth brush swallowing. Arch Surg. 1988;123:382-4.

Piddlesberger MM, Jr, Cohen HL, Glick PL. The Swallowed toothbrush: a radiographic clue of bulimia. Pediatric Radiol. 1991;21:262-4.

Xin-Liang Lu, He-Long Cao and Ke-Da Qian: Endoscopic removal of an Accidentally Swallowed Toothbrush. Inter Med 2008;47:1797-8.

Ertan A, Kedia SM, Agarwal NM, Akadamar K. Endoscopic removal of a toothbrush. Gastrointest Endosc 1983;29:144-5.