Department of General and Laparoscopic Surgery, Nobel Medical College Teaching Hospital, Kanchanbari, Morang, Biratnagar.
Kathmandu Univ Med J (KUMJ). 2021;19(76):522-524.
Accidental consumption of foreign body is a common presenting complain among patients especially in young age group. Majority of patients can be discharged safely after reassurance while a fraction of patient requires observation and further management. Here we report a case of a 35-year-old gentleman who presented to the out-patient department of our hospital in June 2021 for accidental ingestion of toothbrush. After detailed history and physical examination upper gastrointestinal endoscopy was planned for the patient. Failed endoscopic removal was considered the indication for surgery. A supraumbilical midline incision was used to remove the toothbrush. Following the surgical removal, he was managed conservatively and was discharged without significant complications. We describe this case in detail in addition to reviewing the pertinent literature.
异物吞食是患者常见的就诊主诉，尤其在年轻人群中更为常见。大多数患者经过安抚后可安全出院，而少数患者则需要观察和进一步治疗。我们在此报告一例 2021 年 6 月因意外吞食牙刷而到我院门诊就诊的 35 岁男性患者。详细询问病史和体格检查后，计划对患者行上消化道内镜检查。如果内镜下取物失败，则考虑手术治疗。采用脐上正中切口取出牙刷。手术切除后，患者接受了保守治疗，无明显并发症出院。除了回顾相关文献外，我们还详细描述了这一病例。
