A Young Woman with Abdominal Pain: Unintentional Toothpick Ingestion

Foreign body ingestion is a common occurrence among children and adults with certain risk factors including advanced age and psychiatric diseases. However, in clinical practice we encounter healthy adults who are diagnosed with unintentional foreign body ingestion and are not able to remember it. These cases may be complicated by gastrointestinal perforations in case of ingesting sharp objects. Only clinical suspicion would help clinicians for prompt diagnosis in such cases. Keywords: Foreign Bodies; Abdominal Pain; EsophagoscopyIntroduction Foreign body ingestion is a common event that can be defined as accidental or intentional ingestion of substances or even food and medications [1]. ISSN: 2575-5501Case presentation This article introduces a young woman who presents to the gastroenterology clinic with epigastric pain. Since her symptoms did not improve with medical treatment, she underwent upper gastrointestinal endoscopy and a toothpick was found in the duodenum with penetration in both ends that the patient denied its ingestion. She discharged after 24 hours of successful removing of the foreign body with no complication in a 1 month follow up by Ahmad Hormati in Shahid-beheshti-hospital, Qom, Iran