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April 24, 2026American Journal of Case ReportsOpen Access

A 40-Year-Old Man With 2-Year Chronic Epigastric Pain From a Retained 18-cm Toothbrush: Endoscopic Management and Clinical Decision-Making

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Authors

JHJingjing HuYHYinqing HuDSDayong Sun

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Overview

Case report shows endoscopy effectively resolves chronic pain from a retained foreign body in an adult, suggesting its diagnostic value.

Key Points

  • To present a case of chronic epigastric pain due to a retained toothbrush and discuss the role of endoscopy in diagnosis and treatment.
  • Evaluated a 40-year-old man with chronic epigastric pain and a history of swallowing a toothbrush.
  • Conducted contrast-enhanced CT imaging to assess the foreign body and potential complications.
  • Performed endoscopy to visualize and retrieve the retained toothbrush.
  • Imaging revealed a 18-cm toothbrush in the gastrointestinal tract, but the patient exhibited no severe clinical symptoms.
  • Successful removal of the toothbrush using a polypectomy snare during endoscopy.
  • Immediate resolution of epigastric pain post-removal, with no complications noted during follow-up.

Cite This Study

Hu et al. (2026) studied this question.

synapsesocial.com/papers/69eb084f553a5433e34b3569https://doi.org/10.12659/ajcr.952225
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An unusual long foreign body impacted in D1–D2 with impending perforation managed laparoscopically: A case report2026
  2. 2Unusual foreign body in the digestive tract: Endoscopic removal of a toothbrush in a pediatric patient2026
  3. 3From Childhood Ingestion to Adult Obstruction: A Long-Retained Synthetic Gastric Foreign Body2026
  4. 4Successful management of uncommon embedded foreign body ingestion: a case report2026
  5. 5Migrated toothpick causing a hepatic abscess with portal vein thrombosis: A case report and review of literature2024 · 4 citations