Toothpick impaction with sigmoid colon pseudodiverticulum formation successfully treated with colonoscopy

Chung, Yun Kyung; Chung, Yong Woo; Moon, Sun You; Yoon, Sun-Joong; Kim, Minjeong; Kim, Kyoung Oh; Park, Cheol Hee; Hahn, Taeho; Yoo, Kyo-Sang; Park, Sang Hoon; Kim, Jong Hyeok; Park, Choong Kee

doi:10.3748/wjg.14.948

Cited by 23 publications

(22 citation statements)

References 6 publications

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“…Fistulae between bowel and bladder can have also iatrogenic genesis [ 1 ]. EVFs caused by the presence of foreign bodies are uncommon, but they have been encountered with increasing frequency over the last decades [ 5 ]. In around 80–90% of the cases, foreign bodies accidentally ingested pass through the gastrointestinal tract uneventfully [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Enterovesical Fistula Caused by a Toothpick

Tombolini

Lacetera

Muzzonigro

2015

Case Reports in Urology

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We present a case of enterovesical fistula caused by an accidental ingestion of a foreign body. A 23-year-old man presented to our hospital with pneumaturia, fecaluria, and abdominal pain but no recent possible causes of enterovesical fistula at anamnesis. Cystoscopy, cystography, and also colonoscopy were not able to detect the fistulous tract. Computer tomography (CT) revealed a fistula between bladder and bowels caused by a toothpick accidentally swallowed 2 years earlier. We tried to remove the foreign body endoscopically by cystoscopy and colonoscopy but with no success. The failure of endoscopic procedures required a surgical treatment. The patient underwent laparoscopic segmental resection of the sigmoid colon to remove the fistulous tract and the foreign body. The cystography revealed no external leakage of contrast from the bladder with complete resolution of the problem.

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Section: Discussionmentioning

confidence: 99%

Enterovesical Fistula Caused by a Toothpick

Tombolini

Lacetera

Muzzonigro

2015

Case Reports in Urology

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“…In cases of foreign bodies in the GI tract, treatments are chosen according to object type and location [6]. The equipment must include a complete kit for flexible and rigid endoscopy, and auxiliary equipment that includes crocodile teeth type forceps or mouse, polypectomy loops with or without a pannier, polyp extractors, Dormia type panniers, etc.…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Removal of a Duodenal-Perforating Leg of Glasses with Dormia Basket

Wang

Wen

Huang

et al. 2016

Case Rep Gastroenterol

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Ingestion of foreign bodies is common in clinical practice. Most ingested foreign bodies will pass through the gastrointestinal (GI) tract without any problems. While GI tract injury due to the ingested foreign body such as a toothpick, a fishbone, a date pit, or a chicken bone, is common, duodenal perforation is rare. In this report, our experience with this rare entity is shared. We present a 38-year-old male patient with GI tract perforation in the bulbus of the duodenum due to a leg of glasses. The patient was admitted to our hospital with severe abdominal pain. Right upper quadrant tenderness was detected at physical examination, and leukocytosis on the laboratory test results. Plain X-ray and computerized tomography showed an ingested foreign body in the bulbus of the duodenum. A leg of glasses perforating the duodenum was removed with endoscopy. The patient was managed nonoperatively, and discharged without any complications on the eighth day after endoscopy. Endoscopic removal and nonoperative management may be feasible in carefully selected patients with duodenal-perforating foreign bodies.

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“…If the object is radiolucent, it is better to go for computed tomography (CT) scan as the ideal modality of evaluation. [ 11 ] Managing of the floss to remove the hex drive immediately from the oral cavity even reduces the operator's confusion for searching the free end of the floss. It is advised to use a gold or silver ring because they are autoclavable, reusable, and are corrosive resistant, thus preventing contamination to the patient, practitioner, as well as to the dental instruments.…”

Section: Discussionmentioning

confidence: 99%

A simplified method of preventing implant hex drive from aspiration or accidental swallowing during stage two implant recovery

Ratnaditya

Ravuri

Tadi

et al. 2014

J Int Soc Prevent Communit Dent

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Objectives:To prevent accidental ingestion of implant hex dive.Materials and Methods:Dental floss which is used to stabilize the hex drive is tied to the operator's finger ring to overcome sudden aspiration of fallen instrument.Results:It showed excellent grip of the instrument during stage two uncover time and also saved operators time.Conclusions:Accidental aspiration or swallowing of the dental instruments during routine implant surgeries can be prevented by tying the implant instruments to the operator's ring with silk ligatures or dental floss.

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Toothpick impaction with sigmoid colon pseudodiverticulum formation successfully treated with colonoscopy

Cited by 23 publications

References 6 publications

Enterovesical Fistula Caused by a Toothpick

Enterovesical Fistula Caused by a Toothpick

Endoscopic Removal of a Duodenal-Perforating Leg of Glasses with Dormia Basket

A simplified method of preventing implant hex drive from aspiration or accidental swallowing during stage two implant recovery

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