Misdiagnosis of peripheral abscess caused by duodenal foreign body: a case report and literature review

Wang, Zhihui; Du, Zhiqiang; Zhou, Xiang-Rong; Chen, YangQuan; Li, Chunyan

doi:10.1186/s12876-020-01335-7

Cited by 9 publications

(6 citation statements)

References 30 publications

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“…39 CT has been shown to be the optimal modality for identifying early stage FBs, as CT can accurately determine the location of the ends and depths of the FBs. 40 In addition, endoscopy can be used as a diagnostic tool, as well as for treatment.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of Sharp-Pointed Foreign Bodies with Both Sides Embedded into the Duodenal Wall in Adults: A Retrospective Cohort Study

Yu¹,

Li²,

Zhou³

et al. 2021

IJGM

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Purpose Sharp-pointed FBs with both sides embedded in the duodenal wall are rare. Compared with smooth edged FBs, sharp objects are more likely to be associated with significant adverse events, when penetrating the wall of the digestive tract. The clinical features of patients who experienced sharp-pointed FBs embedded in both sides of the duodenum were retrospectively analyzed, as were the efficacy and safety of endoscopic removal of these FBs. Patients and Methods This retrospective study included 21 adults with both sides of sharp-pointed FBs embedded into the duodenal wall who were admitted to the Second Xiangya Hospital in China between January 1, 1996, and May 31, 2021. Data associated with the endoscopic removal of these FBs were collected from the electronic medical record system (EMRS) of the hospital. Results The incidence rate of duodenal total FBs and FBs embedded in both sides was 8.87% and 1.03%, respectively. The success rate of endoscopic treatment was 100.00% in 124 patients without embedded duodenal FBs and 97.14% in 35 patients with one side embedded duodenal FBs. Of the 21 patients with FBs embedded in both sides of the duodenal wall, endoscopic removal was successful in 85.71% of patients, whereas 14.29% required surgery. FBs removed from these patients included toothpicks in 12; needles in 3; jujube pits in 2; and a chopstick, dentures, fish bones, and chicken bones in one each. Most of these 21 FBs were located in the bulb and descending duodenum, followed by the third part of duodenum. Conclusion Sharp-edged FBs with both sides embedded in the duodenal wall are rare. Endoscopic removal may be considered as a feasible, safe, and effective method of removing sharp-pointed FBs with both sides embedded in the duodenal wall. And if endoscopic removal is unsuccessful, surgical management can be a secondary option.

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Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of Sharp-Pointed Foreign Bodies with Both Sides Embedded into the Duodenal Wall in Adults: A Retrospective Cohort Study

Yu¹,

Li²,

Zhou³

et al. 2021

IJGM

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“…Ingestion of a toothpick can lead to local or systemic abnormalities, such as perforation of the digestive tract and damage to surrounding organs. Its clinical manifestations vary from no clinical symptoms (spontaneous discharge of the foreign body in the digestive tract) to abdominal pain, gastrointestinal bleeding, dysphagia, fever, sepsis, and even death [ 1 , 2 ]. Gastrointestinal foreign bodies may also cause rare renal injury, with atypical manifestations of hematuria and backache.…”

Section: Introductionmentioning

confidence: 99%

Sepsis due to kidney injury caused by a toothpick: a case report and literature review

Chen

Kou

2022

BMC Infect Dis

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Background Toothpicks are common foreign bodies which may injure surrounding organs leading to a series of atypical symptoms. We present a rare clinical case that septicemia caused by a toothpick penetrated into the right kidney. Case presentation We describe a 51-year-old patient who presented with right-sided backache and hematuresis for 2 days. Blood culture persistently grew Streptococcus gordonii. Ultrasound of the patient’s urinary tract revealed a strong striated echo in the middle of the right kidney. Complete abdominal computed tomography revealed a duodenal foreign body penetrating into the right kidney. The toothpick was removed under endoscopy and hemostasis was given. Antibiotic treatment was upgraded. The patient was recovered and discharged from his stay on the fifteenth day. Conclusions Early identification of the etiology of sepsis can effectively alleviate patient’s distress and reduce hospital stay. Clinicians should identify the source of sepsis through a medical history and examination.

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“…Ingested fish bones are visible as high-density shadows and hyperechoic structures on computed tomography (CT) and endoscopic ultrasonography (EUS), and are retrievable by ordinary endoscopy. Most previous reports of accidental fish bone ingestion describe patients presenting typical symptoms or positive findings on ancillary examination[ 6 - 8 ]. Herein, we present a case of a fish bone hidden in the submucosal protuberance of the gastric antrum without the usual positive signs.…”

Section: Introductionmentioning

confidence: 99%

Submucosal protuberance caused by a fish bone in the absence of preoperative positive signs: A case report

Du¹,

Huang²,

Yang³

et al. 2022

WJCC

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BACKGROUND Submucosal protuberance caused by fish bone insertion into the digestive tract has rarely been reported. These cases usually include patients with clear signs such as a history of fish intake, pain, and dysphagia, as well as positive findings on endoscopy and imaging. Here, we report a case of a fish bone hidden in the submucosal protuberance of the gastric antrum during endoscopic submucosal dissection without preoperative obvious positive signs. CASE SUMMARY A 58-year-old woman presented with epigastric pain for the past 20 d and a submucosal protuberance. Abdominal computed tomography and endoscopic ultrasonography did not indicate the presence of a fish bone. We assumed the cause to be an ordinary submucosal eminence and performed an endoscopic submucosal dissection to confirm its essence. During the operation, a fish bone approximately 20 mm in length was found incidentally. CONCLUSION Our report could potentially prevent the oversight of embedded fish bones and associated adverse effects in patients with similar presentation.

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Misdiagnosis of peripheral abscess caused by duodenal foreign body: a case report and literature review

Cited by 9 publications

References 30 publications

Endoscopic Removal of Sharp-Pointed Foreign Bodies with Both Sides Embedded into the Duodenal Wall in Adults: A Retrospective Cohort Study

Endoscopic Removal of Sharp-Pointed Foreign Bodies with Both Sides Embedded into the Duodenal Wall in Adults: A Retrospective Cohort Study

Sepsis due to kidney injury caused by a toothpick: a case report and literature review

Submucosal protuberance caused by a fish bone in the absence of preoperative positive signs: A case report

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