Gunasingha Rathnayaka Mudiyanselage Kalpanee, Bozzay Joseph D, Munoz Beau, Malone Debra L
Department of Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA
Department of Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA.
BMJ Case Rep. 2021 Mar 10;14(3):e237746. doi: 10.1136/bcr-2020-237746.
Accidental ingestion of a grill brush wire bristle is a rare event. Retrieval rarely requires surgical intervention as the wire typically causes symptoms above the gastro-oesophageal junction and can frequently be removed endoscopically. There are few reported cases of gastrointestinal injury due to ingestion of wire bristles lodging past the gastro-oesophageal junction in adults. We present four cases of wire brush bristle ingestion that required operative intervention. Our case series illustrates how the commonly used wire grill brush may cause a serious injury. This diagnosis should be considered in patients who present with abdominal pain, non-specific symptoms and normal labs, with liner radio-opaque imaging findings and a history of grill use. Education as to the dangers of grill wire brushes to clean grills should be provided commercially.
意外摄入烧烤刷钢丝刷毛是一种罕见事件。由于钢丝通常会在胃食管交界处上方引发症状，且常常可通过内镜取出，因此取出很少需要手术干预。关于成人因摄入钢丝刷毛并卡在胃食管交界处以下而导致胃肠道损伤的报道病例很少。我们报告了4例需要手术干预的钢丝刷刷毛摄入病例。我们的病例系列说明了常用的钢丝烧烤刷可能如何造成严重损伤。对于出现腹痛、非特异性症状且实验室检查正常、影像学检查有线性不透射线表现并有烧烤使用史的患者，应考虑这一诊断。应在商业上提供关于烧烤钢丝刷清洁烧烤的危险性的教育。
