Article

Migration of a swallowed toothpick into the liver: the value of multiplanar CT.

Department of Radiology, Guangdong Provincial People's Hospital, Guangzhou, Guangdong Province 510080, China.
The British journal of radiology (Impact Factor: 1.53). 05/2009; 82(976):e79-81. DOI: 10.1259/bjr/16399296
Source: PubMed

ABSTRACT Foreign body ingestion is not an uncommon problem encountered in clinical practice. However, the associated complication of bowel perforation and migration of the foreign body to the liver is rare. We report two cases of hepatic foreign bodies identified intra-operatively as toothpicks, with the alimentary tract being the presumed origin.

0 Followers
 · 
88 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Acute right lower quadrant pain is one of the most frequent reasons for emergency calls. Acute appendicitis is also the most abundant surgical intervention due to acute abdominal pain. Foreign body ingestion is another but rare cause of acute abdominal pain especially in adult patients. We describe the clinical, surgical and multidetector computed tomography imaging findings of large bowel perforation due to unintentionally ingested wooden toothpick.
    04/2014; 1(2). DOI:10.5430/ijdi.v1n2p43
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: IntroductionForeign body ingestion is associated with a variety of symptoms and complications, often mimicking various diseases. This case report describes an unusual presentation following foreign body ingestion. Case presentationA 56-year-old Greek Caucasian woman presented to a primary care setting, in rural Crete, Greece, with complaints of abdominal pain, cramping and bloating, for the last four months. Alternating constipation and diarrhea was reported. The patient had unknowingly ingested a foreign body that resulted in an irritable bowel syndrome-like presentation. ConclusionsThis case report emphasizes the need for a high index of suspicion from physicians for a wide differential in their approach to abdominal complaints, as well as the importance of an individualized approach to patients in the setting of clinical medicine.
    Journal of Medical Case Reports 08/2010; 4(1):1-5. DOI:10.1186/1752-1947-4-244
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Unintentional ingestion of a toothpick is not an uncommon event. Often the ingested toothpicks spontaneously pass through the gut without sequelae. However, serious complications can happen when these sharp objects migrate through the gastrointestinal wall. In the current report, we describe the case of a 37-year-old Caucasian woman with an incidental finding of a toothpick in the porta hepatis during laparoscopic cholecystectomy for symptomatic gall stones. Toothpick ingestion is not an uncommon event and can predispose patients to serious complications. In this particular case, the toothpick was only discovered at the time of unrelated surgery. Therefore, it was important during surgery to exclude any related or missed injury to the adjacent structures by this sharp object.
    Journal of Medical Case Reports 08/2011; 5:421. DOI:10.1186/1752-1947-5-421