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A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis
The majority of gastrointestinal (GI) foreign bodies (FBs) discovered in adults are the result of intentional ingestion, most of which are found in patients with a preexisting psychiatric illness, with substance abuse disorders, or in people seeking secondary gain. No similar case of internal injuri...
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Published in: | Case reports in gastroenterology 2017-01, Vol.10 (3), p.800-807 |
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description | The majority of gastrointestinal (GI) foreign bodies (FBs) discovered in adults are the result of intentional ingestion, most of which are found in patients with a preexisting psychiatric illness, with substance abuse disorders, or in people seeking secondary gain. No similar case of internal injuries following unintentional ingestion of a barbecue grill cleaning brush bristle has been reported. A 58-year-old Caucasian male with no significant history presented with complaint of halitosis, not improving after oral care and dental hygiene measures. He denied any other symptoms. After ruling out oral causes of halitosis, an esophagogastroduodenoscopy was performed, which revealed a black wire-shaped metallic FB embedded in the duodenum. The FB was identified as a silver metallic flexible wire resembling the bristle of a barbecue grill cleaning brush. The halitosis resolved completely within 3 weeks of the removal of the FB. To the best of our knowledge, this is the first case of duodenal impaction of a barbecue grill cleaning brush bristle atypically presenting with halitosis. Physicians’ awareness of this potential injury from grill cleaning brush bristles would lead to a quick diagnosis after a focused history. Also avid grillers must be made aware of this potential hazard and should be encouraged to carefully examine the barbecue grill surface for any remnant bristle of the grill cleaning brush. Appropriate history taking, considering GI causes as potentially inducing halitosis, and an awareness of this entity among providers are important to facilitate prompt diagnoses and prevent major adverse outcomes. |
doi_str_mv | 10.1159/000454709 |
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Also avid grillers must be made aware of this potential hazard and should be encouraged to carefully examine the barbecue grill surface for any remnant bristle of the grill cleaning brush. Appropriate history taking, considering GI causes as potentially inducing halitosis, and an awareness of this entity among providers are important to facilitate prompt diagnoses and prevent major adverse outcomes.</description><identifier>ISSN: 1662-0631</identifier><identifier>EISSN: 1662-0631</identifier><identifier>DOI: 10.1159/000454709</identifier><identifier>PMID: 28203127</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Barbecue brush bristles ; Duodenal foreign body ; Food grille ; Gastrointestinal foreign body ; Halitosis ; Single Case</subject><ispartof>Case reports in gastroenterology, 2017-01, Vol.10 (3), p.800-807</ispartof><rights>2016 The Author(s). Published by S. Karger AG, Basel</rights><rights>Copyright © 2016 by S. Karger AG, Basel 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4399-6b32340fd67800e4b63dc8c32fd406ee2598a5779a945df9e3fbfef88a465a743</citedby><cites>FETCH-LOGICAL-c4399-6b32340fd67800e4b63dc8c32fd406ee2598a5779a945df9e3fbfef88a465a743</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5260512/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5260512/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,882,27616,27905,27906,53772,53774</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28203127$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dedania, Bhavtosh</creatorcontrib><creatorcontrib>Khanapara, Dipen</creatorcontrib><creatorcontrib>Panwala, Amruta</creatorcontrib><creatorcontrib>Dharan, Murali</creatorcontrib><title>A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis</title><title>Case reports in gastroenterology</title><addtitle>Case Rep Gastroenterol</addtitle><description>The majority of gastrointestinal (GI) foreign bodies (FBs) discovered in adults are the result of intentional ingestion, most of which are found in patients with a preexisting psychiatric illness, with substance abuse disorders, or in people seeking secondary gain. No similar case of internal injuries following unintentional ingestion of a barbecue grill cleaning brush bristle has been reported. A 58-year-old Caucasian male with no significant history presented with complaint of halitosis, not improving after oral care and dental hygiene measures. He denied any other symptoms. After ruling out oral causes of halitosis, an esophagogastroduodenoscopy was performed, which revealed a black wire-shaped metallic FB embedded in the duodenum. The FB was identified as a silver metallic flexible wire resembling the bristle of a barbecue grill cleaning brush. The halitosis resolved completely within 3 weeks of the removal of the FB. To the best of our knowledge, this is the first case of duodenal impaction of a barbecue grill cleaning brush bristle atypically presenting with halitosis. Physicians’ awareness of this potential injury from grill cleaning brush bristles would lead to a quick diagnosis after a focused history. Also avid grillers must be made aware of this potential hazard and should be encouraged to carefully examine the barbecue grill surface for any remnant bristle of the grill cleaning brush. Appropriate history taking, considering GI causes as potentially inducing halitosis, and an awareness of this entity among providers are important to facilitate prompt diagnoses and prevent major adverse outcomes.</description><subject>Barbecue brush bristles</subject><subject>Duodenal foreign body</subject><subject>Food grille</subject><subject>Gastrointestinal foreign body</subject><subject>Halitosis</subject><subject>Single Case</subject><issn>1662-0631</issn><issn>1662-0631</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>M--</sourceid><sourceid>DOA</sourceid><recordid>eNptkctr3DAQh0VJaR7tofcSBDnlsI1elq1LYLN5LSSklPYsJGvkKPFai-Rt2f8-TpyaBHqSmPnmG6QfQl8p-U5poU4IIaIQJVEf0B6Vks2I5HTnzX0X7ef8QIgUjNNPaJdVjHDKyj10O8cLkwFHj2-3uYcU4ibj5Wpt6h4cPt9EB51p8WVMEJoOn0W3xT8SZOj60DX4b-jv8bVpQx9zyJ_RR2_aDF9ezwP0-_Li1-J6dnN3tVzMb2a14ErNpOWMC-KdLCtCQFjJXV3VnHkniARghapMUZbKKFE4r4B768FXlRGyMKXgB2g5el00D3qdwsqkrY4m6JdCTI02qQ91C9pROazhYKykglur7PApioiyrIeK5YPrdHStN3YFrh4elkz7Tvq-04V73cQ_umCSFJQNguNRUKeYcwI_zVKin_PRUz4De_h22UT-C2QAvo3Ao0kNpAmY5o_-2178vBoJvXaePwHimJ-I</recordid><startdate>20170106</startdate><enddate>20170106</enddate><creator>Dedania, Bhavtosh</creator><creator>Khanapara, Dipen</creator><creator>Panwala, Amruta</creator><creator>Dharan, Murali</creator><general>S. Karger AG</general><general>Karger Publishers</general><scope>M--</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20170106</creationdate><title>A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis</title><author>Dedania, Bhavtosh ; Khanapara, Dipen ; Panwala, Amruta ; Dharan, Murali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4399-6b32340fd67800e4b63dc8c32fd406ee2598a5779a945df9e3fbfef88a465a743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Barbecue brush bristles</topic><topic>Duodenal foreign body</topic><topic>Food grille</topic><topic>Gastrointestinal foreign body</topic><topic>Halitosis</topic><topic>Single Case</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dedania, Bhavtosh</creatorcontrib><creatorcontrib>Khanapara, Dipen</creatorcontrib><creatorcontrib>Panwala, Amruta</creatorcontrib><creatorcontrib>Dharan, Murali</creatorcontrib><collection>Karger Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Case reports in gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dedania, Bhavtosh</au><au>Khanapara, Dipen</au><au>Panwala, Amruta</au><au>Dharan, Murali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis</atitle><jtitle>Case reports in gastroenterology</jtitle><addtitle>Case Rep Gastroenterol</addtitle><date>2017-01-06</date><risdate>2017</risdate><volume>10</volume><issue>3</issue><spage>800</spage><epage>807</epage><pages>800-807</pages><issn>1662-0631</issn><eissn>1662-0631</eissn><abstract>The majority of gastrointestinal (GI) foreign bodies (FBs) discovered in adults are the result of intentional ingestion, most of which are found in patients with a preexisting psychiatric illness, with substance abuse disorders, or in people seeking secondary gain. No similar case of internal injuries following unintentional ingestion of a barbecue grill cleaning brush bristle has been reported. A 58-year-old Caucasian male with no significant history presented with complaint of halitosis, not improving after oral care and dental hygiene measures. He denied any other symptoms. After ruling out oral causes of halitosis, an esophagogastroduodenoscopy was performed, which revealed a black wire-shaped metallic FB embedded in the duodenum. The FB was identified as a silver metallic flexible wire resembling the bristle of a barbecue grill cleaning brush. The halitosis resolved completely within 3 weeks of the removal of the FB. To the best of our knowledge, this is the first case of duodenal impaction of a barbecue grill cleaning brush bristle atypically presenting with halitosis. Physicians’ awareness of this potential injury from grill cleaning brush bristles would lead to a quick diagnosis after a focused history. Also avid grillers must be made aware of this potential hazard and should be encouraged to carefully examine the barbecue grill surface for any remnant bristle of the grill cleaning brush. Appropriate history taking, considering GI causes as potentially inducing halitosis, and an awareness of this entity among providers are important to facilitate prompt diagnoses and prevent major adverse outcomes.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>28203127</pmid><doi>10.1159/000454709</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Barbecue brush bristles Duodenal foreign body Food grille Gastrointestinal foreign body Halitosis Single Case |
title | A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis |
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