Acute Abdominal Pain in a Postmenopausal Woman

Cooke, Carly M; Macdonald, D. Blair; Singh, Sony

doi:10.1001/jamasurg.2018.2016

Cited by 1 publication

(14 citation statements)

References 6 publications

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“…The final 57 studies were included in this review and used for data abstraction. 2-9,12-60 Our PRISMA flowchart is detailed in Figure 1 . Retrospective case series were evaluated with the NICE quality assessment tools (National Institute for Health and Care Excellence), 76 outlined in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

“…58 Complications of inadvertent bristle ingestion in this group were as follows: 1 ureter obstruction causing hematuria, 2 cases suspicious for appendicitis, 8,12 1 case of sepsis leading to death in a patient with acute myeloid leukemia, 9 and pancreatic injury, 38 as well as abscesses of the extraluminal duodenum, 6 abdominal wall, 59 and peritoneum. 36…”

Section: Resultsmentioning

confidence: 99%

“…The tendency of grill bristles to penetrate tissues and migrate through structures adds to the complexity and constellation of symptoms that may be experienced and lends itself to missed diagnosis. 4,5,18,33,36,38,51,74…”

Section: Discussionmentioning

confidence: 99%

“…A systematic search was performed per the PRISMA literature selection process ( Figure 1 ). 2-9,12-75 Two authors (N.M. and Y.M.) independently searched the literature for relevant articles.…”

Section: Methodsmentioning

confidence: 99%

“…Additionally, we identified several cases of missed diagnosis. 4,5,18,33,36,38,51,74 No initial anatomic location was significantly more likely to have bristle migration after initial presentation. No anatomic location was significantly more likely to have systemic symptoms upon presentation.…”

Section: Presentationmentioning

confidence: 99%

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Hazards and Management of Wire Bristle ingestions: A Systematic Review

Miller¹,

Noller²,

León

et al. 2021

Otolaryngol.--head neck surg.

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Objective Inadvertently ingested grill brush bristles can lodge in various locations and lead to a variety of injuries. They can also be difficult to identify and remove. Our primary objective was to perform a systematic review of cases reported in the literature, with analysis of trends in clinical presentation and success of diagnostic modalities and treatment approaches. Data Sources Cases of reported grill brush bristle ingestion reported in PubMed, PubMed Central, and Google Scholar databases through April 30, 2021. Review Methods Databases were searched for the following terms: (“ingestion” OR “injury” OR “barbeque” OR “BBQ” OR “grill” OR “foreign body” OR “brush” AND “wire” OR “bristle”). Data were collected on patient demographics, clinical presentation, and treatment course. Statistical analysis was performed on characteristics with low risk of confounding. Results An overall 57 studies involving 91 patients were included. Grill brush bristles presented most commonly in the upper aerodigestive tract (48/91), followed by the abdomen (26/91) and deep neck (17/91). Computed tomography was the most accurate imaging modality for initial diagnosis, identifying 92.8% of bristles. Less invasive or adjunctive techniques such as endoscopy, intraoperative imaging, or minimally invasive surgery may be useful particularly for bristles located in the head and neck given the low rate of success of transoral surgery (66.7%). Conclusion Although this review of retained bristle may be biased toward complex cases, retained grill brush bristles represent an underrecognized and difficult-to-manage hazard. When cases are suspected, clinicians should obtain computed tomography imaging based on presentation and tailor management appropriately.

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