Perforation of the Cecum by a Toothpick: Report of a Case and Review of the Literature

Zouros, Efstratios; Oikonomou, Dimitrios; Theoharis, Georgios; Bantias, Christos; Papadimitropoulos, Konstantinos

doi:10.1016/j.jemermed.2014.06.065

Cited by 28 publications

(43 citation statements)

References 27 publications

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“…In 37% of the patients the toothpick had reached the colon [ 3 ]. Although the definitive identification of a toothpick on preoperative imaging is rare, a toothpick perforating the cecum after unconscious ingestion has been detected by ultrasound and CT scan in one patient [ 4 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Toothpick ingestion complicated by cecal perforation: case report and literature review

et al. 2014

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BackgroundDiverticulitis and carcinoma represent the most common causes of colon perforation, but other causes, like ingestion of foreign bodies, should be taken into account.Case presentationWe report the case of a 64-year old man presenting in our Emergency Department with a 2 days history of right lower abdominal pain, nausea, vomiting and low grade fever. Physical examination evocated mild pain with positive rebound tenderness in the right lower abdominal quadrant, and positive right costovertebral angle tenderness. Routine blood tests, abdominal X-rays and CT scan were inconclusive for perforation. At explorative laparoscopy a cecal perforation with localized peritonitis was found, and a right colectomy was performed due to the suspicion of cancer. Histological examination confirmed the presence of a perforation caused by a piece of wood (toothpick) of 6 cm in length.ConclusionsForeign body ingestion should be taken into account in the evaluation of acute abdominal pain. A detailed patient’s history may be crucial for a correct diagnosis and treatment.

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Section: Literature Reviewmentioning

confidence: 99%

Toothpick ingestion complicated by cecal perforation: case report and literature review

et al. 2014

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“…Duodenum, distal ileum and sigmoid are the most frequent sites of perforation. 1 , 2 In general, perforation tends to occur where angulations or changes of luminal calibre of the bowel are present. 1 …”

Section: Discussionmentioning

confidence: 99%

Inferior vena cava septic thrombosis due to gut perforation after accidental toothpick ingestion

et al. 2017

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“…In our case, we selected the urgent endoscopic retrieval, because the sharp foreign body was suspicious on the radiographic study. Previously, accidental foreign body ingestion during a routine dental procedure was reported by different groups [1][2][3]. However, ingestion of multiple foreign bodies during a routine dental procedure is uncommon.…”

Section: Discussionmentioning

confidence: 99%

“…Ninety percent of ingested foreign bodies pass through the gastrointestinal tract uneventfully. However, the ingestion of foreign body can sometimes cause serious complications [2]. Treatment depends on the type and size of the object and its location [3].…”

Section: Introductionmentioning

confidence: 99%

Concomitant Crown and Piece of Tray Ingestion: A Case Report

Baba

Kato

2016

J Med Cases

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The ingestion of a foreign body is a complication often seen in the hospital emergency rooms. The dental university hospital, where instruments and products are manipulated in the mouth, is an environment of risk. Previously, accidental foreign body ingestion during a routine dental procedure was reported by different groups. However, ingestion of multiple foreign bodies during a routine dental impression procedure is uncommon. Here, we describe a clinical case of accidental ingestion of concomitant crown and piece of tray. Some clinical implications are discussed, mainly emphasizing the care needed to prevent such an accident.

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Perforation of the Cecum by a Toothpick: Report of a Case and Review of the Literature

Cited by 28 publications

References 27 publications

Toothpick ingestion complicated by cecal perforation: case report and literature review

Toothpick ingestion complicated by cecal perforation: case report and literature review

Inferior vena cava septic thrombosis due to gut perforation after accidental toothpick ingestion

Concomitant Crown and Piece of Tray Ingestion: A Case Report

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