• Muhammad Asif Rasheed Combined Military Hospital
  • Ali Kashif Combined Military Hospital Gujranwala
  • Aneeqa Naz Combined Military Hospital Gujranwala
  • Sikandar Ali Combined Military Hospital Gujranwala


Toothbrush is a rare foreign body to be ingested accidentally. The unusual shape of the toothbrush with no theoretical possibility of spontaneous passage mandates an interventional approach. If left untreated, it can lead to pressure necrosis, bleeding, perforation and ulceration. An endoscopic attempt in an expert clinic if available is the ideal approach. If failed, surgical management by laparoscope or mini laparotomy should be done. The evaluation for underlying psychiatric disorders like bulimia, schizophrenia or generalized eating disorder should be considered to prevent such recurrence. Here, we present a case of 55 years of age, male living a normal life with no known comorbid, who ingested accidentally a toothbrush two weeks prior to presentation and was managed at our surgical department after a failed endoscopic attempt.Keywords: Bulimia; Endoscopy; Foreign Bodies; Stomach

Author Biographies

Muhammad Asif Rasheed, Combined Military Hospital

 Surgical Specialist. Surgical Department Combined Military Hospital Gujranwala 

Ali Kashif, Combined Military Hospital Gujranwala

Consultant anesthetist, Surgical Department Combined Military Hospital Gujranwala

Aneeqa Naz, Combined Military Hospital Gujranwala

Medical Officer .Combined Military Hospital Gujranwala

Sikandar Ali, Combined Military Hospital Gujranwala

Consultant Psychiatrist, Department of Psychiatry, Combined Military Hospital Gujranwala.


Smith MT, Wong RK. Foreign bodies. Gastrointest Endosc Clin N Am 2007;17(2):361–82.

Lu XL, Cao HL, Qian KD. Endoscopic removal of an accidentally swallowed toothbrush. Intern Med 2008;47(20):1797–8.

Gupta M, Gupta P, Gupta M. Extraction of swallowed toothbrush in stomach by pneumatic insufflation and gastrotomy under local anesthesia: A rare occurrence. J Res Med Sci 2014;19(5):472–3.

Sewpaul A, Shaban F, Venkatasubramaniam AK, Tennant D, Kelly SB. The case of the forgotten toothbrush. Int J Surg Case Rep 2012;3(5):184–5.

Jamal K, Shaunak S, Kalsi S, Nehra D. Successful Laparoscopic Removal of an Ingested Toothbrush. J Surg Tech Case Rep 2013;5(2):99–102.

Chao HH, Chao TC. Perforation of the duodenum by an ingested toothbrush. World J Gastroenterol 2008;14(27):4410–2.

Lee MR, Hwang Y, Kim JH. A case of colohepatic penetration by a swallowed toothbrush. World J Gastroenterol 2006;12(15):2464–5.

Mughal M. Accidental ingestion of a toothbrush! Arch Emerg Med 1986;3(2):119–23.