Endoscopic Management of Colonic Perforation due to Ingestion of a Wooden Toothpick

Sarıcı, İnanç Şamil; Topuz, Ömer; Sevim, Yusuf; Sarıgöz, Talha; Ertan, Tamer; Karabıyık, Özgür; Koç, Ali

doi:10.12659/ajcr.902004

Cited by 14 publications

(20 citation statements)

References 10 publications

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“…We found one other case report of splenic flexure perforation by a wooden toothpick that was managed endoscopically by snare-extraction because part of the toothpick was still inside the colonic lumen. The postendoscopy micro-perforation and pneumo-peritoneum were successfully treated conservatively with antibiotics [20]. A similar case to ours describes the extra-colonic migration of a fish bone to the spleen complicated with a hematoma and indication of surgical intervention [21].…”

Section: Discussionsupporting

confidence: 64%

“…We could not perform the coloscopy to eliminate a colonic malignant process as a standard procedure in other case reports [6,20]. The patient had no personal or family risk factors for colorectal cancer and the progressive sepsis raised the suspicion of possible colon perforation with peritonitis that contraindicated the preparation and the colonoscopy.…”

Section: Discussionmentioning

confidence: 97%

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Case report of abdominal left upper quadrant collection secondary to fish bone perforation

Gheorghiu¹,

Bolliet

David

et al. 2020

Medicine and Pharmacy Reports

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We present an unusual case of an intra-abdominal collection which evidenced a rare etiology and raises diagnostic particularities. Background. Fish bones ingestion is frequent, but seldom followed by complications. Those are often reported at specific sites. Objectives. This case report emphasizes the unusual presentation and site localization of a colonic perforation by a small fish bone, in the context of limited radiological accuracy at the diagnostic phase. Case presentation. A 37 year old male was admitted to the gastroenterology ward with upper and left sided abdominal pain associated with fever and marked fatigue. His medical history was marked by a sleeve gastrectomy in 2010 for obesity. Abdominal signs and elevated acute inflammatory syndrome on blood tests were followed by computer tomography which revealed a pericolic mass near the left splenic flexure. The pain and fever increased in intensity, so a laparotomy was proposed. Intraoperatively, a tumor-like lesion was found and a resection with oncologic limits was performed. Microscopic examination of the specimen revealed a fish bone, but only after surgery did the patient confirm that he had eaten fish meal the week before. The post-operative period was uneventful. Conclusion. Fish bones remain some of the most frequently ingested alimentary foreign bodies; they may cause atypical clinical presentations, frequently omitted by the patients themselves if symptoms appear delayed. They could also lead to possible high-risk complications which need to be addressed by surgeons.

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 97%

Case report of abdominal left upper quadrant collection secondary to fish bone perforation

Gheorghiu¹,

Bolliet

David

et al. 2020

Medicine and Pharmacy Reports

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“…En una búsqueda sistemática referente a PI por IM, se encontraron 131 artículos que aportaron 157 casos, cuyas características principales se resumen en la Tabla I y la Figura 3 (Ragazzi et al;Sarmast et al;Lovece et al;Nic´iforovic et al, 2014;Steinbach et al;Zeng et al, 2014;Zouros et al;Zelones et al, 2015;da Mota et al, 2016;Birindelli et al, 2016;Çapkınoglu et al, 2017;Kumar et al, 2017;Sarici et al, 2017;Turaihi et al, 2017;Lai et al, 2018;Lin et al, 2018;Depoorter et al, 2019;Lim et al;Ossola & Galafassi, 2019).…”

Section: Discussionunclassified

Resultados del Tratamiento Quirúrgico de la Perforación Intestinal Causada por Ingestión de Mondadientes. Aportación de 3 Casos

Manterola

2020

Int. J. Morphol.

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RESUMEN: La ingestión de mondadientes (IM) constituye un evento poco frecuente (se han publicado alrededor de 157 casos a nivel mundial), pero puede causar perforaciones intestinales (PI), con peritonitis, sepsis e incluso muerte. Este hecho, determina la necesidad de intervenir quirúrgicamente a la mayoría de estos pacientes. El objetivo de este manuscrito fue informar resultados del tratamiento quirúrgico de 3 casos de PI por IM. Caso 1: hombre de 52 años, con perforación duodenal y de la vesícula biliar. Caso 2: Mujer de 54 años con perforación cecal. Caso 3: hombre de 72 años, con perforación de colon izquierdo y lesión esplénica. Todos fueron hospitalizados por dolor abdominal y fiebre. En dos casos el diagnóstico se verificó por tomografía y en uno por ecotomografía. Los tres casos fueron intervenidos quirúrgicamente a través de laparotomía. Intervenciones: Caso 1: se realizó colecistectomía y sutura duodenal. Caso 2: se realizó hemicolectomía derecha e ileotransverso anastomosis. Caso 3: se realizó hemicolectomía izquierda y esplenectomía. En todos los casos se encontró el mondadientes. Todos los pacientes evolucionaron de forma satisfactoria, sin complicaciones postoperatorias. La IPD es una emergencia quirúrgica. Las PI son comunes y la peritonitis asociada es frecuente. El pronóstico depende de un diagnóstico precoz y un tratamiento oportuno.

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“…Toothpick ingestion should be managed as an emergency as failure to do that can result in many complications including fistula, perforation, abscess etc. 7,9,10 Despite the challenges of OAE it should be done in the interest of the patients.…”

Section: Discussionmentioning

confidence: 99%

Wooden toothpick partially embedded in the gastric antrum: a case report of an unusual finding in open access gastrointestinal endoscopy

Awuku

Lovi

et al. 2018

Ghana Medical Journal

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SUMMARYIngested toothpick is an unusual occurrence in clinical practice. This is a medical emergency and all effort should be made to localize the toothpick and appropriate intervention instituted. We report a case of accidentally ingested toothpick with successful endoscopic removal in a case of a 24year old male who presented for open access endoscopy with complaint of abdominal pain. During endoscopy a foreign body (sharp object) was seen partially embedded at the gastric antrum which was later identified as a wooden toothpick. Endoscopic removal was done using a Caesar grasping forceps (CGF-1-240). No complication was reported during and after the procedure. Ingested toothpick should be managed as an emergency in all cases and should be considered an important differential diagnosis in clients with complaint of abdominal pain especially in open access endoscopy. Funding: None

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Endoscopic Management of Colonic Perforation due to Ingestion of a Wooden Toothpick

Cited by 14 publications

References 10 publications

Case report of abdominal left upper quadrant collection secondary to fish bone perforation

Case report of abdominal left upper quadrant collection secondary to fish bone perforation

Resultados del Tratamiento Quirúrgico de la Perforación Intestinal Causada por Ingestión de Mondadientes. Aportación de 3 Casos

Wooden toothpick partially embedded in the gastric antrum: a case report of an unusual finding in open access gastrointestinal endoscopy

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