What does this research mean for the field?

Laparoscopic surgery is an effective and safe approach for removing long, impacted foreign bodies in the duodenum with impending perforation when endoscopic retrieval is unsafe. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

Describe the clinical presentation, diagnostic evaluation, and laparoscopic management of a long ingested foreign body causing duodenal impaction and impending perforation.

August 22, 2026Journal of Injury and Acute CareOpen Access

An unusual long foreign body impacted in D1–D2 with impending perforation managed laparoscopically: A case report

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Authors

SSSushant Soren SCSushrut Chandra AKAsuri Krishna

Discussion

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Overview

Case report demonstrates successful laparoscopic extraction of an impacted duodenal toothbrush in an adult, highlighting minimally invasive repair techniques.

Key Points

Describe the clinical presentation, diagnostic evaluation, and laparoscopic management of a long ingested foreign body causing duodenal impaction and impending perforation.
Evaluated a 32-year-old male with a 3-day history of colic abdominal pain and vomiting following ingestion of a toothbrush handle.
Performed diagnostic workup using contrast-enhanced abdominal CT and upper endoscopy, followed by laparoscopic retrieval, primary defect repair with an omental patch, and feeding jejunostomy.
Endoscopic retrieval was aborted due to deep embedding of the 14-cm foreign body and high risk of imminent duodenal perforation.
Laparoscopy confirmed anterior duodenal wall perforation, achieved complete foreign body extraction, repaired the 1.5 x 1.5 cm defect with an omental patch, and permitted discharge on postoperative day 5.

Cite This Study

Soren et al. (2026) studied this question.

synapsesocial.com/papers/6a895f9cca7ade938187e599 https://doi.org/10.25259/joiac_9_2026

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August 22, 2026Journal of Injury and Acute CareOpen Access

An unusual long foreign body impacted in D1–D2 with impending perforation managed laparoscopically: A case report

View Full Paper

Ask AI

Bookmark

Authors

SSSushant Soren SCSushrut Chandra AKAsuri Krishna

Discussion

Member takes

Overview

Case report demonstrates successful laparoscopic extraction of an impacted duodenal toothbrush in an adult, highlighting minimally invasive repair techniques.

Key Points

Describe the clinical presentation, diagnostic evaluation, and laparoscopic management of a long ingested foreign body causing duodenal impaction and impending perforation.
Evaluated a 32-year-old male with a 3-day history of colic abdominal pain and vomiting following ingestion of a toothbrush handle.
Performed diagnostic workup using contrast-enhanced abdominal CT and upper endoscopy, followed by laparoscopic retrieval, primary defect repair with an omental patch, and feeding jejunostomy.
Endoscopic retrieval was aborted due to deep embedding of the 14-cm foreign body and high risk of imminent duodenal perforation.
Laparoscopy confirmed anterior duodenal wall perforation, achieved complete foreign body extraction, repaired the 1.5 x 1.5 cm defect with an omental patch, and permitted discharge on postoperative day 5.

Cite This Study

Soren et al. (2026) studied this question.

synapsesocial.com/papers/6a895f9cca7ade938187e599 https://doi.org/10.25259/joiac_9_2026

Also Consider

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

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