Duodenocaval Fistula Due to Toothpick Perforation

Justiniani, Federico R.; Wigoda, Luis; Ortega, Rolando S.

doi:10.1001/jama.1974.03230200046009

Cited by 42 publications

(13 citation statements)

References 12 publications

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“…Cualquier CE es posible, siendo más frecuentes las monedas, el bolo alimenticio impactado y huesos de pollo o espinas de pescado (8,9). La ingesta de un palillo de dientes es rara, constituye en general el 9% de los casos (6); pero por su carácter cortopunzante y su tamaño se han documentado diferentes tipos de complicaciones secundarias a su perforación en el tracto gastrointestinal (TGI), incluyendo desde el alojamiento en pleura, hígado, pericardio, peritoneo, riñón, uréter y vejiga (10-15) hasta complicaciones más graves, como fistulas del duodeno con la aorta o la vena cava inferior (16)(17)(18).…”

Section: Discussionunclassified

Absceso de pared dudenal secundario a "palillo de dientes" enclavado en duodeno como causa inusual de dolor abdominal crónico

Parra

Paipilla

Q³

et al. 2017

Rev. Colomb. Gastroenterol.

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Los cuerpos extraños (CE) constituyen una de las urgencias mas frecuentes en gastroenterología. Aunque la mayoría de estos pasan de forma espontanea, en algunos casos pueden causar perforaciones. Presentamos el caso de un paciente masculino de 32 años quien consultó de forma ambulatoria por un cuadro de dolor abdominal de 4 meses de evolución. Dentro de los estudios solicitados se realizó una endoscopia de vías digestivas altas cuyo principal hallazgo fue la presencia de un cuerpo extraño (palillo de dientes) enclavado en el duodeno, que fue extraído sin complicaciones.

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Section: Discussionunclassified

Absceso de pared dudenal secundario a "palillo de dientes" enclavado en duodeno como causa inusual de dolor abdominal crónico

Parra

Paipilla

Q³

et al. 2017

Rev. Colomb. Gastroenterol.

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“…1 Early diagnosis and retrieval are important because delayed diagnosis can result in serious complications or mortality in up to 18% of cases. 5 Furthermore, perforation or penetration by a toothpick can be asymptomatic, and causing later complications in adjacent structures, such as, fistula involving a major blood vessel, 6 constrictive pericarditis, 7 or a liver abscess. 8 However, it is difficult to diagnose toothpick ingestion because patients are usually ignorant of having swallowed a toothpick.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of a Toothpick Impacted in the Stomach Wall by Mucosal Incision

Han

Bang

Kim

et al. 2012

Korean J Helicobacter Up Gastrointest Res

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Toothpicks are not uncommonly swallowed, and subsequently, may be impacted into gastrointestinal wall and cause morbidities, and even mortality. Therefore, the early diagnosis and immediate retrieval of an ingested toothpick is important. In many cases, endoscopic removal is attempted initially, but if this fails or a complication is encountered, surgery should be considered. The authors experienced a case of ingested toothpick penetrating the gastric wall. A 51-year-old woman visited our hospital with epigastric pain of one-week duration. Upper endoscopy revealed that the sharp end of a toothpick had been impacted into the distal antrum. Endoscopic removal using an alligator jaw forceps failed because the toothpick broke during removal and our continued attempts to extract the remnant resulted in it becoming more embedded in the stomach wall. In such circumstances, surgical treatment should be considered. However, we incised the mucosa to expose the remnant toothpick, and fortunately, we were then able to grasp and remove the toothpick using an alligator jaw forceps. We report this unusual case of a toothpick impacted in the gastric wall that was resolved endoscopically by mucosal incision. (Korean J Helicobacter Up Gastrointest Res 2012;12:276-279)

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“…3 Regarding DCF with foreign body ingestion, eight patients have been reported in the English-language literature. [9][10][11][12][13] Six of these cases were due to toothpicks, one due to bone fragments, and one due to a fish bone. Four of the ingested toothpicks were found in autopsy.…”

Section: Discussionmentioning

confidence: 99%

Successful percutaneous thrombectomy of an infected vena-caval thrombus due to a toothpick

Kim

et al. 2011

Journal of Vascular Surgery

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We report a case of a 25-year-old Caucasian female with a septic thrombosis in the inferior vena cava (IVC) which contained a toothpick. She was admitted with fever and abdominal pain for 2 weeks. Computed tomography scan showed thrombus with air density in the suprarenal IVC. However, there was no evidence of duodenocaval fistula. Because of the patient's reluctance for surgery, endovascular therapy was tried. A partially-deployed nitinol stent was used as a filter, and aspiration thrombectomy was performed. Unexpectedly, a toothpick was retrieved within the stent. Anticoagulants and antibiotics were administered. A follow-up computed tomography after 2 months showed total resolution of the residual thrombus.

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Duodenocaval Fistula Due to Toothpick Perforation

Abstract: (Fig 1 and 2)

Cited by 42 publications

References 12 publications

Absceso de pared dudenal secundario a "palillo de dientes" enclavado en duodeno como causa inusual de dolor abdominal crónico

Absceso de pared dudenal secundario a "palillo de dientes" enclavado en duodeno como causa inusual de dolor abdominal crónico

Endoscopic Removal of a Toothpick Impacted in the Stomach Wall by Mucosal Incision

Successful percutaneous thrombectomy of an infected vena-caval thrombus due to a toothpick

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