An unusual collateral damage of COVID-19 pandemic
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A 64-year-old man was admitted in the gastroenterology department after a nasopharyngeal swab broke inside his left nasal fossa, during SARS-CoV-2 testing. The patient had no complaints, and physical examination was unremarkable. The patient was examined by an otorhinolaryngologic physician; a nasofibroscopy was performed that did not detect the foreign body. Therefore, and considering that the swab had a sharp-pointed part (the broken swab’s extremity), an esophagogastroduodenoscopy (EGD) was performed.

In order to perform EGD as soon as possible, the patient was considered SARSCoV-2 positive, and adequate personal protective equipment was used. In the gastric cavity, the broken swab was visualized with approximately 6 centimeters of length. The foreign body was retrieved using grasping forceps by the broken swab’s extremity, leaving the cotton part free. The reassessment EGD did not show any lesions. The patient remained asymptomatic and was discharged.

This is the first case of a broken nasopharyngeal swab retrieved from the gastric cavity by EGD. During the procedure, it is important to consider the use of grasping forceps in the broken extremity (sharp part) because the cotton part is blunt and smooth.

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