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Journal of Case Reports and Images in Surgery - Journal of Case Reports and Images in Surgery - Case Reports, Case Series, Case in Images, Clinical Images

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Case Report
 
A case of serial duodenal perforations after ingestion of multiple toothbrushes
Marianna Zukiwskyj1, Brent Cohen2, June Tun2, Philip Lockie3
1MBBS, Registrar, Department of Surgery, Ipswich Hospital, Ipswich 4305, Queensland, Australia.
2MBBS, Principal House Officer, Department of Surgery, Ipswich Hospital, Ipswich 4305, Queensland, Australia.
3MBBS, Visiting Medical Officer, Department of Surgery, Ipswich Hospital, Ipswich 4305, Queensland, Australia.

Article ID: 100015Z12MZ2016
doi:10.5348/Z12-2016-15-CR-7

Address correspondence to:
Marianna Zukiwskyj
Rabaul Street, Moorooka
Queensland 4105
Australia

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How to cite this article:
Zukiwskyj M, Cohen B, Tun J, Lockie P. A case of serial duodenal perforations after ingestion of multiple toothbrushes. J Case Rep Images Surg 2016;2:23–26.


Abstract
Introduction: Foreign body ingestion is frequently seen in the emergency setting. It may be managed conservatively or by surgical means. Toothbrush ingestion comprises very small percentage of all foreign bodies, and to date, all have been removed surgically.
Case Report: We report a case of successive perforations of the duodenum from the ingestion of multiple toothbrushes in a patient with a background of mental illness.
Conclusion: Radiological imaging may be useful in identifying the location of the foreign body, and guiding management. Of particular importance is the realization that a toothbrush may not be seen on CT scan, and in the case of falsely negative imaging, management should be guided by clinical observation.

Keywords: Duodenal perforation, Swallowed toothbrush


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Author Contributions
Marianna Zukiwskyj – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Brent Cohen – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
June Tun – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Philip Lockie – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Marianna Zukiwskyj et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.