A chopstick is removed after 60 years in the duodenum

Yamamoto, Masatoshi; Mizuno, Hiroshi; Sugawara, Yuzuru

doi:10.1016/s0016-5107(85)71973-6

Cited by 15 publications

(6 citation statements)

References 1 publication

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“…26 Frequently, symptoms occur well after the patient ingests the foreign body. [27][28][29][30] Young children, mentally impaired adults, and those with psychiatric illness may thus present with choking, refusal to eat, vomiting, drooling, wheezing, blood-stained saliva, or respiratory distress. 13,16,31 Oropharyngeal or proximal esophageal perforation can cause neck swelling, erythema, tenderness, or crepitus.…”

Section: Diagnosismentioning

confidence: 99%

Management of ingested foreign bodies and food impactions

Ikenberry¹,

Jue²,

Anderson³

et al. 2011

Gastrointestinal Endoscopy

700

770

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Section: Diagnosismentioning

confidence: 99%

Management of ingested foreign bodies and food impactions

Ikenberry¹,

Jue²,

Anderson³

et al. 2011

Gastrointestinal Endoscopy

700

770

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“…Gastrointestinal bleeding is the most common symptom of an aorto-enteric fistula [19]. If the foreign body does not cause any mucosal damage, the patient is asymptomatic, but problems in swallowing may be persistent and an abrupt onset of gastrointestinal symptoms years after previous foreign body ingestion have been described [20][21][22][23]. Thus, diagnosis could be very challenging [24].…”

Section: Discussionmentioning

confidence: 99%

Screwdriver Aspiration During Oral Procedures: A Lesson for Dentists and Gastroenterologists

Iovino

Sarno

et al. 2019

Prosthesis

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This article reports the case of a patient suffering from Alzheimer's disease who underwent a dental procedure for the peri-implantitis of his dental implants placed some years earlier. Our aim was to describe a misinterpreted accidental foreign body aspiration and its management. Due to an involuntary movement, the patient accidentally ingested a screwdriver, so, although asymptomatic, he was taken to the hospital. Based on the radiographic interpretation, the radiologists diagnosed the presence of the object in the distal esophagus; an esophagogastroduodenoscopy was performed but the screwdriver was not found. Subsequently, a computed tomography (CT) scan was performed which placed the foreign body in the airways and it was successfully removed by bronchoscopy. Patients with dementia need additional care during dental procedures because of the increased risk of ingestion and/or aspiration. We demonstrated how important it is, even without any symptoms, the need to be vigilant in seeking out urgent care as soon as possible.

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“…On the other hand, there is an anecdotal case presented by Yamamoto that explains that the length of time between ingestion and presentation may vary from hours to months and in unusual cases to years: an 18‐cm chopstick was removed from the duodenum of a 71‐year‐old man, 60 years after ingestion 13 …”

Section: Discussionmentioning

confidence: 99%