Tehran University of Medical Sciences Frontiers in Emergency Medicine 2717-3593 4 3 2019 10 10 e78 e78 Ritin Mohindra Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India Nayan B Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India Roshan Mathew Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India Gyan Rout Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India Kanav Kaushal Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India Praveen Aggarwal Department of Emergency Medicine, All India Institute of Medical Sciences, New Delhi, India 2019 10 02 2019 10 05 Introduction: Foreign body ingestion is a common presenting complaint in the emergency department. While ingestion of small foreign bodies like coins and button batteries is not uncommon, ingestion of long and rigid foreign bodies like toothbrush is very rare.  Case presentation: We describe a 36-year-old man who presented to us after accidental ingestion of a toothbrush. The patient underwent urgent endoscopic removal; Psychiatric evaluation revealed an acute and transient psychotic disorder in him.  Conclusion: Ingestion of long and rigid foreign bodies like a toothbrush is an uncommon entity. Such foreign bodies when ingested find it difficult to maneuver through the GI tract, which makes their spontaneous passage almost impossible. Their ingestion is associated with increased risk of impaction, perforation and, bleeding. Therefore, early removal of the ingested toothbrush is recommended before complications develop. https://fem.tums.ac.ir/index.php/fem/article/view/275 https://fem.tums.ac.ir/index.php/fem/article/download/275/236