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: 2.03). 05/2009; 82(976):e79-81. DOI: 10.1259/bjr/16399296
Source: PubMed


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.
    Full-text · Article · Apr 2014
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    • "Commonly reported foreign bodies include toothpicks, fish bones, and chicken bones. These objects and long, narrow, or pointed foreign bodies are associated with a high risk of impaction and perforation of the bowel walls (2, 3). "
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    ABSTRACT: Foreign body ingestion is not uncommon in clinical practice, and it may occasionally lead to penetration injuries. Emergency physicians and radiologists sometimes fail to obtain complete histories including ingestion and may overlook the possibility of foreign body-induced complications. Herein, we report a case of stomach antrum perforation due to foreign body migration. We were unaware of the patient's history of eating the Korean delicacy "Kanjang-gaejang," which is raw crab seasoned with soy sauce. Several imaging diagnostic modalities had suggested the possibility of a malignant mass in the gastrocolic ligament area. During the operation, a crab leg was discovered as the cause of an intra-abdominal abscess. The patient underwent an antrectomy, a vagotomay, and a transverse colon wedge resection. We present this unusual case of a pseudotumorous lesion caused by ingestion of Kanjang-gaejang.
    Full-text · Article · May 2012 · Journal of Korean medical science
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    • "Imaging studies are often of limited value as wooden toothpicks are radiolucent in plain films. However, ultrasonography and computed tomography (CT) have been recommended as useful tools for the detection of these foreign bodies, which are often hyperechoic on ultrasonography and of high density on CT [8,9]. Most of the time, the final diagnosis can be achieved through endoscopy, laparoscopy, or laparotomy [4,10]. "
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    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.
    Full-text · Article · Aug 2011 · Journal of Medical Case Reports
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