Unmasking a New Type of Gastrointestinal Foreign Body in the COVID-19 Era

Author:

Little Rebecca1,Shpoliansky Michael1,Greer Mary-Louise23,Avitzur Yaron14,Au Hosanna45,Hulst Jessie146

Affiliation:

1. Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Hospital for Sick Children, Toronto, Canada

2. Department of Diagnostic Imaging, Hospital for Sick Children

3. Department of Medical Imaging, University of Toronto, Toronto, Canada

4. Department of Paediatrics, University of Toronto, Toronto, Canada

5. Division of Paediatric Medicine, Department of Pediatrics, Hospital for Sick Children, University of Toronto, Toronto, Canada

6. Department of Nutritional Sciences, University of Toronto, Toronto, Canada.

Abstract

The incidence of foreign body ingestion has increased during the coronavirus disease 2019 pandemic. As face masks became increasingly available, we report a case of accidental ingestion of the metal strip insert of a surgical mask. After initially progressing, its progress halted after 24 hours. This case highlights the challenges of timing the endoscopic removal of long objects, especially considering the reduced endoscopic availability during the pandemic. Despite only causing local trauma, the strip was impacted at the duodenojejunal flexure with the potential to cause obstruction. Limiting morbidity relies on urgent removal and prevention of similar ingestions by emphasizing the safe use and storage of masks.

Publisher

Wiley

Subject

General Earth and Planetary Sciences,General Environmental Science

Reference12 articles.

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