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: 2.02). 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.

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    • "Children, mentally ill persons, people who have a tendency to commit suicide are more prone to have bowel wall perforations due to ingestion of these objects. Foreign bodies may pass by without feeling them if dentures covering the palate [1] [2] [3] [4] [5] [6] [7] . Bowel wall perforations due to toothpicks reported before in different ages causing even causing liver injuries and abscesses [8] [9] [10] . "
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    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
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    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
  • Gut 05/2011; 60(5):630, 687. DOI:10.1136/gut.2009.190546 · 13.32 Impact Factor
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