case_images: PMC11786108_01
case_images: Black particles in contaminated sandwich bread.
case_images: gr1.jpg
case_images: PMC11786108_01_gr1.jpg
case_images: fig1
case_images: An 11-year-old girl with a history of epilepsy managed with levetiracetam was transferred from a peripheral hospital to a tertiary care hospital after developing severe symptoms shortly after ingesting a shawarma sandwich containing hard black granules (approximately 2-5 mm in size) (Fig. 1).
case_images: Abdominal X-ray showing scattered radio-opaque foreign bodies throughout the GI system.
case_images: gr2.jpg
case_images: PMC11786108_01_gr2.jpg
case_images: fig2
case_images: An upper gastrointestinal endoscopy confirmed the presence of black particles and multiple minor erythematous lesions in the stomach (Figure 2, Figure 3, Figure 4).
case_images: Gastric aspirate showing black particles.
case_images: gr3.jpg
case_images: PMC11786108_01_gr3.jpg
case_images: fig3
case_images: An upper gastrointestinal endoscopy confirmed the presence of black particles and multiple minor erythematous lesions in the stomach (Figure 2, Figure 3, Figure 4).
case_images: Upper endoscopy showing multiple minor erythematous lesions in the stomach, along with a bezoar of black particles.
case_images: gr4.jpg
case_images: PMC11786108_01_gr4.jpg
case_images: fig4
case_images: An upper gastrointestinal endoscopy confirmed the presence of black particles and multiple minor erythematous lesions in the stomach (Figure 2, Figure 3, Figure 4).
case_images: PMC11786108_02
case_images: PMC11786108_03
case_images: PMC11786108_04