Toothpick Ingestion Causing Duodenal Perforation

Ragazzi, Monica; Delcò, Fabiola; Rodoni-Cassis, Paola; Brenna, Massimo; Lavanchy, Laure; Bianchetti, Mario G.

doi:10.1097/pec.0b013e3181e5bf85

Cited by 20 publications

(24 citation statements)

References 4 publications

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“…Perforation is common with sharp objects, but blunt objects can also cause perforation, due to pressure necrosis secondary to local inflammation [5]. Ragazzi et al [11] reported a case of duodenal perforation from a toothpick that had an uneventful recovery mediated by endoscopic removal. Endoscopic clipping has increasingly been used for closure of small duodenal perforation, and cases were reported where successful closure of a perforation was achieved by endoscopic clipping, especially with iatrogenic perforation [12, 13].…”

Section: Discussionmentioning

confidence: 99%

A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis

Dedania

Khanapara

Panwala

et al. 2017

Case Rep Gastroenterol

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The majority of gastrointestinal (GI) foreign bodies (FBs) discovered in adults are the result of intentional ingestion, most of which are found in patients with a preexisting psychiatric illness, with substance abuse disorders, or in people seeking secondary gain. No similar case of internal injuries following unintentional ingestion of a barbecue grill cleaning brush bristle has been reported. A 58-year-old Caucasian male with no significant history presented with complaint of halitosis, not improving after oral care and dental hygiene measures. He denied any other symptoms. After ruling out oral causes of halitosis, an esophagogastroduodenoscopy was performed, which revealed a black wire-shaped metallic FB embedded in the duodenum. The FB was identified as a silver metallic flexible wire resembling the bristle of a barbecue grill cleaning brush. The halitosis resolved completely within 3 weeks of the removal of the FB. To the best of our knowledge, this is the first case of duodenal impaction of a barbecue grill cleaning brush bristle atypically presenting with halitosis. Physicians’ awareness of this potential injury from grill cleaning brush bristles would lead to a quick diagnosis after a focused history. Also avid grillers must be made aware of this potential hazard and should be encouraged to carefully examine the barbecue grill surface for any remnant bristle of the grill cleaning brush. Appropriate history taking, considering GI causes as potentially inducing halitosis, and an awareness of this entity among providers are important to facilitate prompt diagnoses and prevent major adverse outcomes.

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Section: Discussionmentioning

confidence: 99%

A Case of Mysterious Impacted Duodenal Foreign Body Presenting with Halitosis

Dedania

Khanapara

Panwala

et al. 2017

Case Rep Gastroenterol

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“…However, a nonsurgical strategy can be successful in certain cases. A successful conservative treatment in a case of a duodenal perforation, identified several days after the ingestion of a toothpick by a 15-year-old boy, has been reported 11. Since Binmoeller et al12 reported a case of endoscopic closure of an iatrogenic gastric perforation by using metallic clips in 1993, attempts on managing bowel perforation nonsurgically have been successful.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case of Duodenal Perforation Caused by a Lollipop Stick: A Case Report

et al. 2014

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Most ingested foreign bodies often pass through the gastrointestinal tract uneventfully; however, complications such as perforation do occur. Most cases of perforation are caused by thin, pointed objects such as needles, toothpicks, or fish and chicken bones. Herein, we report an unusual case of duodenal perforation caused by a lollipop stick with blunt ends. A 23-year-old woman was admitted to the emergency department complaining of epigastric and right upper quadrant pain for the last 2 days. Abdominal computed tomography scans confirmed the presence of a foreign body in the duodenum, with signs of duodenal perforation and inflammation. The patient was not aware of ingesting the foreign body. Endoscopy revealed the presence of a lollipop stick in the duodenum, which was removed with forceps. The duodenal perforation was successfully managed by using hemoclips and a detachable snare.

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“…Perforation from a swallowed toothpick is a rare [1][2][3][4] but potentially life-threatening event. Since most of the time the patient is unaware of having ingested a toothpick, the diagnosis is difficult [5][6][7].…”

Section: Supporting Informationmentioning

confidence: 99%