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Grill-Cleaning Wire Brush Bristle Ingestion: Two Cases and Review of Literature with Focus on Diagnostic Approach. | LitMetric

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http://dx.doi.org/10.1016/j.amjmed.2016.01.038DOI Listing

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Introduction: Ingested foreign bodies are common in otolaryngology and gastrointestinal surgery, with grill brush bristles posing different risks. This case report describes a small bowel perforation after ingestion of a grill brush bristle. This is an extremely rare complication.

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Wire bristle foreign body: Never in the same place twice.

SAGE Open Med Case Rep

May 2019

Department of Otolaryngology-HNS, University of Michigan, Ann Arbor, MI, USA.

Foreign body ingestion is a common reason for visiting the emergency room. Foreign bodies can lodge anywhere in the upper aerodigestive tract and can sometimes be difficult to extract. Wire bristles that dislodge from grill-cleaning wire brushes and which are then accidentally swallowed can be particularly challenging to remove due to their small size, propensity to become embedded, and their ability to migrate through tissues.

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Objectives: The authors report a small case series of an unusual ingested foreign body, wire brush bristles, whose small size can present a challenge for endoscopic removal. The authors describe transnasal endoscopic removal and provide a literature review.

Methods: From 2011 to 2017, 8 patients presented to an academic tertiary medical center with ingestion of wire brush bristles.

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The majority of gastrointestinal (GI) foreign bodies (FBs) discovered in adults are the result of intentional ingestion, most of which are found in patients with a preexisting psychiatric illness, with substance abuse disorders, or in people seeking secondary gain. No similar case of internal injuries following unintentional ingestion of a barbecue grill cleaning brush bristle has been reported. A 58-year-old Caucasian male with no significant history presented with complaint of halitosis, not improving after oral care and dental hygiene measures.

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