28 May 2026
: Case report 
A 40-Year-Old Man With 2-Year Chronic Epigastric Pain From a Retained 18-cm Toothbrush: Endoscopic Management and Clinical Decision-Making
Mistake in diagnosis, Unusual or unexpected effect of treatment, Rare disease
Jingjing Hu ABCDEFG 1, Yinqing Hu ABCDEF 1, Dayong Sun EG 1, Shihua Ding F 1, Jiahuang Huang
ABCDEFG 1*
DOI: 10.12659/AJCR.952225
Am J Case Rep 2026; 27:e952225
Figure 1 Pre-procedure contrast-enhanced abdominal CT showing the retained toothbrush and suspected adjacent inflammatory changePre-procedure contrast-enhanced abdominal computed tomography (CT) demonstrated a long linear foreign body extending from the gastric antrum into the descending duodenum, consistent with a retained toothbrush. The scan also suggested adhesion between the duodenal bulb and the left lateral hepatic segment, with possible sinus tract formation and adjacent inflammatory change. A small amount of pelvic free fluid was also present. Arrows indicate the linear foreign body and the suspected site of duodenal-hepatic adhesion.