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| Case of the Week |
| ESOPHAGEAL FOREIGN BODY IN A BULEMIC PATIENT
by: Tamara Lim, Resident, Lutheran General Children's Hospital, Illinois, USA
History: Patient is a 19 y/o female who presented to the Emergency Department complaining of chest pain. Chest exam was taken obtained which revealed a foreign body.
Discussion: The diagnosis of a foreign body ingestion in an adolescent should raise some concern about the underlying reason for the ingestion, particularly, an eating disorder. It has been documented in the literature that patients who are suffering from bulemia have unintentionally swallowed a toothbrush while trying to induce vomiting. The visualization of a foreign body on plain film with characteristic findings of a toothbrush may then be the first clue of an eating disorder for these patients. More
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Child Abuse