Retroperitoneal colonic perforation from a foreign body – ‘cannibalization’ effect of a toothpick – a video vignette

Birindelli, Arianna; Tugnoli, Gregorio; Biscardi, Andrea; S, Di Saverio

doi:10.1111/codi.13259

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Cited by 2 publications

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“…Case reports describe managing patients non-operatively with antibiotics or with surgery, as in this case 2. There are cases reporting the use of laparoscopy to manage foreign body perforations 11. We were unable to do so in our case as we felt it was unsafe to proceed with the initial laparoscopic findings.…”

Section: Discussionmentioning

confidence: 88%

Case of unrecognised food bone ingestion with dual site intestinal perforations

et al. 2016

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Section: Discussionmentioning

confidence: 88%

Case of unrecognised food bone ingestion with dual site intestinal perforations

et al. 2016

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“…Most of the patients were unaware of the event of swallowing a toothpick, making diagnosis difficult 3. It was described in some case reports that toothpick can silently migrate outside gastrointestinal tract resulting in rare complications like spondylodiscitis in our case 4. We describe a case of delayed diagnosis of toothpick ingestion causing small bowel perforation, abdominal wall abscess and spondylodiscitis.…”

Section: Introductionmentioning

confidence: 76%

Small bowel perforation by toothpick

Lai¹,

Lui²

2018

BMJ Case Reports

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Toothpick ingestion is a rare but potentially fatal condition which may cause bowel perforation and rare complications if it migrates out of the gastrointestinal tract. This case report describes a delayed presentation of toothpick-induced small bowel injury leading to abdominal wall abscess and spondylodiscitis. A 51-year-old man was admitted twice with fever and loin pain, but repeated non-contrast CT was reported to be unremarkable. However, 5 months later, he presented with a left lower quadrant abdominal wall abscess and back pain. An updated CT showed a linear hyperdensity which was already present in previous scans, causing small bowel perforation, abdominal wall abscess and spondylodiscitis. Emergency laparotomy identified a toothpick causing small bowel perforation. The abdominal wall abscess was incised and drained, and small bowel was repaired.

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Retroperitoneal colonic perforation from a foreign body – ‘cannibalization’ effect of a toothpick – a video vignette

Cited by 2 publications

References 12 publications

Case of unrecognised food bone ingestion with dual site intestinal perforations

Case of unrecognised food bone ingestion with dual site intestinal perforations

Small bowel perforation by toothpick

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