2002
DOI: 10.1007/s005950200137
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Gastric Perforation Due to the Ingestion of a Hollow Toothpick: Report of a Case

Abstract: A perforation due to the ingestion of a toothpick is a condition seldom seen in the stomach. We herein describe an 80-year-old woman with a perforation of the stomach due to an ingested hollow toothpick. The toothpick was easily removed during a mini-laparotomy. The site of perforation was closed with absorbable sutures and omentum was used to function as an overlying patch. The postoperative course was uncomplicated. The hollow toothpick functioned as a fistula between the contents of the stomach and the peri… Show more

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Cited by 29 publications
(30 citation statements)
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“…That case was interesting due to the absence of symptoms during and after perforation of the gastric wall, probably due to very slow migration of the toothpick. Risk factors for toothpick ingestion are mental retardation, alcohol abuse, dental prosthesis, rapid eating, and habitual chewing of toothpicks (7)(8)(9). Only 12% of patients recall toothpick ingestion.…”
Section: Discussionmentioning
confidence: 99%
“…That case was interesting due to the absence of symptoms during and after perforation of the gastric wall, probably due to very slow migration of the toothpick. Risk factors for toothpick ingestion are mental retardation, alcohol abuse, dental prosthesis, rapid eating, and habitual chewing of toothpicks (7)(8)(9). Only 12% of patients recall toothpick ingestion.…”
Section: Discussionmentioning
confidence: 99%
“…[5][6][7] Those most commonly associated with complications are toothpicks, fish and chicken bones and needles. [6,[8][9][10][11][12] Although most of the sharppointed objects entering the stomach will pass through the remaining gastrointestinal tract without incident, the risk of complication caused by a sharp-pointed object is as high as 35%. [13] Sharp, pointed foreign bodies often cause perforations in the gastrointestinal tract; endoscopic removal is advisable if they are within the reach of available endoscopes.…”
Section: Discussionmentioning
confidence: 99%
“…Nonetheless, chronic inflammation is not uncommon, resulting in abscess or granuloma formation [7]. Risk factors for the FB ingestion are mental retardation, alcohol abuse, dental prosthesis, rapid eating, and habitual chewing of toothpicks [8]. We present a healthy young woman with right flank pain and nausea which started 3 weeks earlier but there were no abdominal abscess symptoms.…”
Section: Discussionmentioning
confidence: 99%