Never Brush off Abdominal Pain: A Case of a Grill Brush Bristle Causing Colonic Perforation

Never Brush off Abdominal Pain: A Case of a Grill Brush Bristle Causing Colonic Perforation

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Acute abdominal pain constitutes 7% to 20% of all emergency department visits.While abdominal pain encompasses a broad differential, etiologies of enteritis can be divided into 4 major categories, with infection being the most common.We present the first case of enteritis caused by sigmoid colon and possibly Tumblers jejunal perforation secondary to grill All-In-One brush bristle ingestion.Despite comprehensive workup for enteritis, the cause remained elusive in our case, necessitating computed tomography enterography, which revealed the foreign body.

Clinicians should maintain a high index of suspicion for foreign body ingestion, including grill brush bristle, in cases of unexplained enteritis, as this represents an uncommon but life-threatening etiology.