An unusual case of cardiac tamponade

Braconi, Lucio; Pretelli, Paola; Calamai, G; Montesi, Gianfranco; Romagnoli, Stefano; Gelsomino, Sandro; Bevilacqua, Sergio; Stefàno, Pierluigi; Gensini, Gian Franco

doi:10.2459/01.jcm.0000215277.62767.8f

Cited by 8 publications

(5 citation statements)

References 7 publications

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“…Li et al showed a very high overall mortality rate after toothpick ingestion (18%) (2). In one case report, the ingested toothpick migrated out of the gastrointestinal tract into the pericardium, causing cardiac tamponade (3). A case has recently been reported in which a toothpick migrated from the gastric wall to the pericardium, injuring the right coronary artery, requiring coronary artery bypass grafting (4).…”

Section: Discussionmentioning

confidence: 97%

Duodenal Perforation and Right Hydronephrosis Due to Toothpick Ingestion

Nigri¹,

Giulio²,

Nardo³

et al. 2008

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 97%

Duodenal Perforation and Right Hydronephrosis Due to Toothpick Ingestion

Nigri¹,

Giulio²,

Nardo³

et al. 2008

The Journal of Emergency Medicine

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“…Swallowed foreign bodies tend to get stock in the upper and lower esophageal sphincter in the esophagus. 2 …”

Section: Discussionmentioning

confidence: 99%

The Hemoptysis and the Subclavian Artery Pseudoaneurysm due to a Fishbone Injury

et al. 2015

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Ingestion of a foreign body is a common cause of esophageal injury, but hemoptysis is a rare manifestation of the esophageal penetration by a swallowed foreign body. The swallowing of a fishbone is hard to diagnose and the definite diagnosis is usually made during surgery. We describe the case of a 50-year-old man with direct injury to the lung parenchyma, the azygos vein, and the subclavian artery pseudoaneurysm due to a fishbone penetration from the upper esophagus into the lung. To our knowledge, this is the first case report that we know of in which a swallowed foreign body that penetrated from the upper esophagus into the lung caused vascular injuries and lung damage and it was solved by minimally invasive surgery and an endovascular stent.We successfully diagnosed and treated a case with the migration of the fishbone from the upper esophagus into the lung. A contrast-enhanced computed tomography (CT) scan is recommended to clarify the fact of vascular injury before surgery. Thoracoscopic operation (VATS) combined with endovascular treatment could be a safer and a more feasible treatment option in this rare condition.

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“…Risk factors for toothpick ingestion include alcohol intoxication, dulled palatal sensation most commonly due to the presence of dentures, rapid ingestion of food, habitual chewing of toothpicks, and mental retardation 3,6,7. The most common sites of injury are the duodenum and sigmoid colon5 although toothpicks have been reported to migrate and cause injury to the retroperitoneum causing upper urinary tract obstruction,8 pericardium causing injury to the right coronary artery,9 and cardiac tamponade 10. Unusual presentations include liver abscess,11,12 subcutaneous emphysema of leg,13 and arterial-enteric fistula 14…”

Section: Discussionmentioning

confidence: 99%

Toothpick Perforation of the Intestines Presenting as Recurrent Abdominal Pain: Possible Roles of Abdominal Ultrasound and MRI

Sealock

Sabounchi

Graham

2013

Clin Med Insights Case Rep

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We report the case of a middle-aged man admitted for five months of unexplained left lower quadrant pain. He had been hospitalized on two prior occasions and treated with broad spectrum antibiotics. His clinical presentation was suggestive peritoneal irritation with severe, focal pain on abdominal palpation. Computed tomography scans showed non-specific inflammation in the left lower abdomen with adjacent small bowel wall thickening. Upper endoscopy and colonoscopy were unremarkable on prior admission. Given the severity and focality of the patient’s recurrent abdominal pain he underwent laparoscopy and was found to have a wooden toothpick perforation of the small bowel thirty centimeters from the ileocecal valve requiring partial small bowel resection. The patient did well post-operatively. On retrospective questioning he may have eaten a cabbage roll or bacon wrapped shrimp pierced with a toothpick weeks before the onset of symptoms. Toothpick perforation should be a consideration in edentulous persons with focal, severe abdominal pain and trans-abdominal ultrasound or MRI may be a better choice for detecting wooden foreign objects.

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An unusual case of cardiac tamponade

Cited by 8 publications

References 7 publications

Duodenal Perforation and Right Hydronephrosis Due to Toothpick Ingestion

Duodenal Perforation and Right Hydronephrosis Due to Toothpick Ingestion

The Hemoptysis and the Subclavian Artery Pseudoaneurysm due to a Fishbone Injury

Toothpick Perforation of the Intestines Presenting as Recurrent Abdominal Pain: Possible Roles of Abdominal Ultrasound and MRI

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