Toothbrush swallowing is an uncommon occurrence. Unlike most cases of foreign-body ingestion, there have been no cases of spontaneous passage reported. Consequently, prompt removal is recommended before complications develop. We report a case of toothbrush ingestion which failed attempted endoscopic removal. This patient was managed successfully with laparoscopic assisted removal via gastrotomy. We recommend this approach for the removal of any ingested foreign bodies when surgical intervention is indicated.
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