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

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 a...

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Main Authors: Bibek Saha, Vijayvardhan Kamalumpundi, Jenny J. Cao, Crystal H. Kang, Allison Reinhardt, Joelle N. Friesen, Bright Thilagar
Format: Article
Language:English
Published: Elsevier 2025-01-01
Series:Gastro Hep Advances
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772572325000329
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author Bibek Saha
Vijayvardhan Kamalumpundi
Jenny J. Cao
Crystal H. Kang
Allison Reinhardt
Joelle N. Friesen
Bright Thilagar
author_facet Bibek Saha
Vijayvardhan Kamalumpundi
Jenny J. Cao
Crystal H. Kang
Allison Reinhardt
Joelle N. Friesen
Bright Thilagar
author_sort Bibek Saha
collection DOAJ
description 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 jejunal perforation secondary to grill 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.
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issn 2772-5723
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publishDate 2025-01-01
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series Gastro Hep Advances
spelling doaj-art-a381a2a7cb0645a295bfc1b989a4897b2025-08-20T02:44:20ZengElsevierGastro Hep Advances2772-57232025-01-014610064510.1016/j.gastha.2025.100645Never Brush off Abdominal Pain: A Case of a Grill Brush Bristle Causing Colonic PerforationBibek Saha0Vijayvardhan Kamalumpundi1Jenny J. Cao2Crystal H. Kang3Allison Reinhardt4Joelle N. Friesen5Bright Thilagar6Department of Internal Medicine, Mayo Clinic, Rochester, MinnesotaDepartment of Internal Medicine, Mayo Clinic, Rochester, MinnesotaDepartment of Internal Medicine, Mayo Clinic, Rochester, MinnesotaDepartment of Radiology, Mayo Clinic, Rochester, MinnesotaDepartment of Internal Medicine, Mayo Clinic, Rochester, MinnesotaDepartment of Internal Medicine, Mayo Clinic, Rochester, MinnesotaDivision of General Internal Medicine, Mayo Clinic, Rochester, Minnesota; Correspondence: Address correspondence to: Bright Thilagar, MD, Division of General Internal Medicine, Mayo Clinic, 200 First St SW, Rochester, Minnesota 55905.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 jejunal perforation secondary to grill 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.http://www.sciencedirect.com/science/article/pii/S2772572325000329Foreign Body IngestionEnteritisComputed Tomography EnterographySigmoid ColonSmall Intestine
spellingShingle Bibek Saha
Vijayvardhan Kamalumpundi
Jenny J. Cao
Crystal H. Kang
Allison Reinhardt
Joelle N. Friesen
Bright Thilagar
Never Brush off Abdominal Pain: A Case of a Grill Brush Bristle Causing Colonic Perforation
Gastro Hep Advances
Foreign Body Ingestion
Enteritis
Computed Tomography Enterography
Sigmoid Colon
Small Intestine
title Never Brush off Abdominal Pain: A Case of a Grill Brush Bristle Causing Colonic Perforation
title_full Never Brush off Abdominal Pain: A Case of a Grill Brush Bristle Causing Colonic Perforation
title_fullStr Never Brush off Abdominal Pain: A Case of a Grill Brush Bristle Causing Colonic Perforation
title_full_unstemmed Never Brush off Abdominal Pain: A Case of a Grill Brush Bristle Causing Colonic Perforation
title_short Never Brush off Abdominal Pain: A Case of a Grill Brush Bristle Causing Colonic Perforation
title_sort never brush off abdominal pain a case of a grill brush bristle causing colonic perforation
topic Foreign Body Ingestion
Enteritis
Computed Tomography Enterography
Sigmoid Colon
Small Intestine
url http://www.sciencedirect.com/science/article/pii/S2772572325000329
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