C0307 - A Grate Lesson: Abdominal Pain Secondary to Ingested Wire Grill Brush

Ryan Santos, DO, McHuy McCoy, MD, Anthony Cancio, MD
Tripler Army Medical Center, Honolulu, HI

Introduction: An 18-year-old male presented with 3 days of right lower quadrant abdominal pain and 3 weeks of intermittent bright red blood per rectum. Pain was described as sharp 2/10 non-radiating pain at rest but 9/10 with movement. Review of systems was negative for diarrhea, constipation, nausea, emesis or any extra-intestinal symptoms. Patient denied any NSAID, alcohol or illicit drug use though did endorse a family history of Crohn's, Celiac disease and IBS in primary and secondary family members.

Case Description/Methods: Initial abdominal CT noted several nonspecific enlarged fluid-filled loops of small bowel within the right lower quadrant particularly at the terminal ileum. Upon evaluation with colonoscopy, a sharp metallic object was seen protruding about 1mm out of the cecal mucosa near the ileocecal valve (Image A). After several unsuccessful attempts at removing the object with biopsy forceps, a cold snare was looped around the end, closed, and the object was extracted through the working channel.

Discussion: Inspection revealed a sharp thin 1.5cm long metallic foreign body (Image B) suspected to be a fragment of a wire brush used to clean barbeque grills. Retrospective analysis of CT imaging revealed the metallic object in question. (Image C) Patient was symptom-free 4 days later with no recurrence of pain.



Disclosures:


Ryan Santos, DO, McHuy McCoy, MD, Anthony Cancio, MD. C0307 - A Grate Lesson: Abdominal Pain Secondary to Ingested Wire Grill Brush, ACG 2022 Annual Scientific Meeting Abstracts. Charlotte, NC: American College of Gastroenterology.