CTICasesMultiple Swallowed Foreign Bodies
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Imaging findings
A series of radiographs and CT scans of the neck and chest demonstrate several different foreign bodies ingested over a one-year period, including a metallic shoehorn lodged in the pharynx, a pen with a central lumen in the mid-esophagus, and a plastic toothbrush with a visible bristle tuft pattern.
Key takeaways
Ingestion of large, atypical, and potentially dangerous objects such as pens, toothbrushes, and shoehorns is typically observed in patients with severe cognitive impairment, dementia, or psychiatric illness. These elongated items frequently become impacted within the upper gastrointestinal tract, predisposing patients to mucosal lacerations, ulcerations, or esophageal perforation, and they often require specialized transoral or transnasal endoscopic retrieval.
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