ArticleACG case reports journal2025
Grill Bristle Induced Perforation of the Bile and Pancreatic Ducts Managed by Endoscopic Ultrasound and Endoscopic Retrograde Cholangiopancreatography: A Unique Foreign Body Case.
Article in ACG case reports journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Foreign body ingestion is common, but penetration into the common bile duct (CBD) and pancreas is exceptionally rare. A 74-year-old woman presented with 4 weeks of intermittent left upper abdominal pain and normal laboratory results. Computed tomography showed a linear hypodensity traversing the ampulla and pancreatic duct. Endoscopic ultrasound confirmed a hyperechoic linear object in the CBD. Endoscopic retrograde cholangiopancreatography with sphincterotomy and balloon sweeps revealed a metallic foreign body protruding from the papilla. It was removed using pediatric cold forceps and identified as a grill brush bristle. The patient was discharged without complications and remained asymptomatic at 4 weeks. Grill brush bristle ingestion can rarely result in CBD and pancreatic duct penetration. Endoscopic ultrasound facilitates localization, and endoscopic retrograde cholangiopancreatography provides a safe, minimally invasive treatment.
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