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Dear Sir, Before induction of anesthesia, multiple solid particles were found adhered to the oral mucosa, along with red discoloration of the tongue in a 40-year-old female (American Society of Anesthesiologists physical status 2, body weight 65 kg, height 159 cm, BMI 25.7 kg/m 2 ) scheduled for elective laparoscopic cholecystectomy [Figure 1]