Migration of bamboo toothpick to liver causing paroxysmal pain

Chen, Haidong; Wang, Yanping; Zhou, Rong; Li, Jiamin

doi:10.21037/qims-20-1202

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…Inclusion criteria were patients with subphrenic jujube pits confirmed by surgery, endoscopy, or jujube pits found in stool during clinical follow-up. Exclusion criteria were patients with non-jujube pit foreign bodies by typical imaging features (e.g., fish bone, toothpick and metal foreign body) on CT images (25)(26)(27)(28) or identified by medical records, insufficient data, and those transferred to another hospital.…”

Section: Patients and Clinical Data Collectionmentioning

confidence: 99%

Utility of CT in detecting and monitoring subphrenic jujube pits: a retrospective cross-sectional study of clinical cases and ex vivo experiments

Hao¹,

Wang²,

Hu³

et al. 2022

Quant Imaging Med Surg

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Background: Subphrenic jujube foreign body can cause perforation, abscess, peritonitis and other complications. Computed tomography (CT) is considered to be a sensitive tool for small or faintly opaque foreign body (e.g., jujube pits, toothpicks, fish bones, acrylics and plastics) detection. The present study aimed to investigate the clinical and imaging features of subphrenic jujube pits and explore the potential of CT for detecting and monitoring subphrenic jujube pits.Methods: Patients with subphrenic jujube pits who were treated at our institution were retrospectively reviewed along with published studies. A total of 10 types of commercially available jujube pits were analyzed with CT, then another 40 jujube pits (≥2.5 cm) were randomly selected and soaked in a series of solutions to mimic the gastrointestinal tract processes, following which CT was performed at serial time points with conventional and dual-energy protocols.Results: All jujube pits could be detected by CT, presenting spindle-shape high-density. The length of jujube pits based on clinical cases and that of the commercially available types were 1.38 to 3.50 cm and 1.35 to 3.95 cm, respectively. After analysis, the mean attenuation values derived from the clinical cases [77.67Hounsfield unit (HU), range: −89.92 to 153.13, SD 64.70] were higher than those of the 10 commercially available types of jujube pits in boiled (73.57 HU, range: 2.29 to 94.96, SD 20.48) and raw state (−274.28 HU, range: −400.12 to −168.12, SD 72.75); statistically significant differences were found in mean attenuation values between raw jujube pits and boiled jujube pits (P<0.05). After soaking, the radiodensity of raw jujube pits showed an upward trend over immersion time, and water (-hydroxyapatite) overlay images enhanced the visualization of jujube pit water content as the percentage of blue area increased over time.Conclusions: CT plays an important role in evaluating and tracing subphrenic jujube pits.

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Section: Patients and Clinical Data Collectionmentioning

confidence: 99%

Utility of CT in detecting and monitoring subphrenic jujube pits: a retrospective cross-sectional study of clinical cases and ex vivo experiments

Hao¹,

Wang²,

Hu³

et al. 2022

Quant Imaging Med Surg

View full text Add to dashboard Cite

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Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the Literature

Alkhulaifi,

Saffaf,

Aldarwish

et al. 2024

Dr. Sulaiman Al Habib Medical Journal

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Intraabdominal abscess due to gastric perforation by a foreign body is rare and may be fatal. In such cases, diagnosis is usually difficult due to non-specific symptoms and failure to remember the ingestion event by the patient as well as low clinical suspicion by the physician. This article demonstrates a rare case of gastro-hepatic recess abscess secondary to a toothpick perforating the lesser curvature of the stomach, diagnosed by a computed tomography scan. Laparoscopy was performed to drain the abscess and extract the foreign body without complications; the patient made a complete uncomplicated recovery. Our case highlighted the clinical challenges in the diagnosis and treatment of such rare cases.

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Migration of bamboo toothpick to liver causing paroxysmal pain

Cited by 2 publications

References 11 publications

Utility of CT in detecting and monitoring subphrenic jujube pits: a retrospective cross-sectional study of clinical cases and ex vivo experiments

Utility of CT in detecting and monitoring subphrenic jujube pits: a retrospective cross-sectional study of clinical cases and ex vivo experiments

Toothpick Perforation of the Stomach Causing Gastro-hepatic Recess Abscess Treated by Laparoscopy: A Case Report and Review of the Literature

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