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TL;DR
A case report describes a 4-year-old boy who accidentally ingested a 9-cm nasal swab during a COVID-19 test, which became retained in his duodenum. The swab was successfully removed via endoscopy without complications.
JPGN Reports · 5 authors, 2 centres
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A case report describes a 4-year-old boy who accidentally ingested a 9-cm nasal swab during a COVID-19 test, which became retained in his duodenum. The swab was successfully removed via endoscopy without complications.
This case report details a 4-year-old boy who accidentally ingested a fractured nasal swab during a COVID-19 test. Imaging 5 days after ingestion showed the swab in the stomach and then the third portion of the duodenum. Four weeks later, endoscopy confirmed retention in the duodenum with mild mucosal redness but no ulceration. The 9-cm swab was removed endoscopically, and the patient was discharged the next day without complications. The authors note that while spontaneous excretion might have been expected due to the swab's flexibility, its length prevented passage. They conclude that ingested nasal swabs with a breakpoint should be considered for endoscopic removal.