Management of Wire Brush Bristle Ingestion

Wong, Stéphanie; Brook, Christopher; Grillone, Gregory A.

doi:10.1177/0003489415599992

Cited by 17 publications

(19 citation statements)

References 13 publications

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“…3 Subsequent cases have included pediatric and adult patients and noted that ingested bristles were commonly located in the base of the tongue, esophagus, palatine tonsils, parapharyngeal space, vallecula, and in the gastrointestinal tract. 1,4–13…”

Section: Discussionmentioning

confidence: 99%

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Wire bristle foreign body: Never in the same place twice

Prince

Bauer

Xie

et al. 2019

SAGE Open Medical Case Reports

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Foreign body ingestion is a common reason for visiting the emergency room. Foreign bodies can lodge anywhere in the upper aerodigestive tract and can sometimes be difficult to extract. Wire bristles that dislodge from grill-cleaning wire brushes and which are then accidentally swallowed can be particularly challenging to remove due to their small size, propensity to become embedded, and their ability to migrate through tissues. This case reveals the speed with which wire bristle foreign bodies can migrate through tissues and exemplifies the need to obtain computerized tomography evaluations in close proximity to any planned attempt to remove them.

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Section: Discussionmentioning

confidence: 99%

“…Wong et al 5 published an algorithm for diagnosis and removal of suspected brush bristle ingestions, including a physical examination and flexible fiberoptic laryngoscopy. If a foreign body is visualized and accessible, bedside endoscopic extraction with local anesthetic spray should be undertaken.…”

Section: Discussionmentioning

confidence: 99%

Wire bristle foreign body: Never in the same place twice

Prince

Bauer

Xie

et al. 2019

SAGE Open Medical Case Reports

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“…Much of the medical literature regarding injury from the ingestion of wire bristles from grill brushes has been published only in the last decade [1]. During grill cleaning, small wire bristles may break off, become embedded into grilled food, and accidently ingested.…”

Section: Introductionmentioning

confidence: 99%

“…Grill wire bristle ingestion has been reported as occurring in patients ranging from age 10 months to 92 years, with a mean age of 30 years and roughly equal incidence in males and females [1,2]. Common presenting symptoms after ingestion included sudden onset of dysphagia, odynophagia, throat pain, globus sensation, or abdominal pain [1,4,6,7]. The severity of injury ranged from puncture of the soft tissues of the neck to perforation of the gastrointestinal tract; treatment ranged from conservative management to surgical exploration and extraction [1,4].…”

Section: Introductionmentioning

confidence: 99%

“…Common presenting symptoms after ingestion included sudden onset of dysphagia, odynophagia, throat pain, globus sensation, or abdominal pain [1,4,6,7]. The severity of injury ranged from puncture of the soft tissues of the neck to perforation of the gastrointestinal tract; treatment ranged from conservative management to surgical exploration and extraction [1,4]. Most cases pertained to upper aerodigestive tract presentations, with the oropharynx as the most common location [1–4,8,9].…”

Section: Introductionmentioning

confidence: 99%

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Grill Brush Bristle Case Series: Three Unique Presentations of Ingested Foreign Bodies

et al. 2019

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Case series Patient: Male, 55 • Female, 61 • Male, 41 Final Diagnosis: Metallic foreign body Symptoms: Abdominal pain Medication: — Clinical Procedure: Diagnostic laparoscopy Specialty: Surgery Objective: Unusual clinical course Background: Much of the medical literature regarding injury from the ingestion of wire bristles from grill brushes has been published only in the last decade. Grill brushes are often used to clean grills, and small wire bristles may break off of the brush during the scrubbing process and subsequently become embedded into food and are accidently ingested. Fewer reports have been published on abdominal presentations with injuries past the gastroesophageal sphincter, yet perforation and subsequent need for operative management has been shown to be more prevalent in these types of cases. Case Reports: Herein, we report on 3 unique cases of accidental ingestion of grill brush wire bristles. Case 1 involved a 55-year-old male who presented to the Emergency Department (ED) for evaluation after experiencing 2 days of abdominal pain while working in the yard. He was found to have a small bowel perforation secondary to a metallic foreign body. Case 2 involved a 61-year-old female who presented to the ED with gradual-onset, sharp epigastric pain radiating to her right side. She was found to have a fistula between her stomach and gallbladder secondary to a contained perforation with a metallic foreign body. Case 3 involved a 41-year-old male who presented to the ED after known ingestion of a grill brush bristle. He was found to have a small metallic foreign body protruding into the abdominal wall. Conclusions: To avoid these injuries, there must be increased awareness among consumers, manufacturers, retailers, and medical professionals to promote prevention, timely diagnosis, and appropriate treatment.

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