RESUMEN
The accidental ingestion of a toothbrush is an extremely rare occurrence, typically involving young women with psychiatric disorders such as schizophrenia, bulimia, or anorexia nervosa. There are no known cases of a swallowed toothbrush being expelled naturally through the rectum. Therefore, prompt extraction of an ingested toothbrush from the gastrointestinal tract using a surgical or endoscopic method is a necessity. Here, we report a case of a psychologically healthy woman ingesting a toothbrush accidentally while cleaning her tongue with the back of the toothbrush. In our report, we document the successful extraction of a toothbrush from the esophagus endoscopically without any complications.
RESUMEN
Ogilvie's syndrome represents an acute form of intestinal obstruction that occurs in the absence of a detectable mechanical blockage impeding fecal passage. Hence, it is also given the name of intestinal pseudo-obstruction. It has been deemed a disease of imbalance between the arms of the autonomic nervous system with an increase in parasympathetic outflow. Most often, it has an antecedent surgical or medical illness. There is evidence for the use of IV neostigmine in such cases to prevent imminent intestinal ischemia and perforation. In the case of a non-responder, decompression of the bowel using a colonoscope and surgery have also been tried to relieve the symptoms. In the case that follows, a middle-aged man developed progressive abdominal distension in the course of his recovery from an ischemic cerebrovascular accident. Initially, he received conservative treatment for 48 hours. Subsequently, he was given IV neostigmine, which relieved his symptoms.