Toothpick injury mimicking renal colic: case report and systematic review

Li, Siu Fai; Ender, Kimberly

doi:10.1016/s0736-4679(02)00458-4

Cited by 101 publications

(149 citation statements)

References 30 publications

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“…Imagen endoscópica de cuerpo extraño (palillo) enclavado en la pared de la segunda porción duodenal con presencia de pus a través del orificio de la pared anterior. intraoperatoria cuando ninguno de los elementos previamente nombrados brindan la información suficiente y por el estado del paciente se amerita llevarlo a cirugía (9,10). En el caso de nuestro paciente, el diagnóstico fue realizado de forma endoscópica, dado que en la imagen tomográfica únicamente se observó engrosamiento de la pared duodenal.…”

Section: Discussionunclassified

Absceso de pared dudenal secundario a "palillo de dientes" enclavado en duodeno como causa inusual de dolor abdominal crónico

Parra

Paipilla

Q³

et al. 2017

Rev. Colomb. Gastroenterol.

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Los cuerpos extraños (CE) constituyen una de las urgencias mas frecuentes en gastroenterología. Aunque la mayoría de estos pasan de forma espontanea, en algunos casos pueden causar perforaciones. Presentamos el caso de un paciente masculino de 32 años quien consultó de forma ambulatoria por un cuadro de dolor abdominal de 4 meses de evolución. Dentro de los estudios solicitados se realizó una endoscopia de vías digestivas altas cuyo principal hallazgo fue la presencia de un cuerpo extraño (palillo de dientes) enclavado en el duodeno, que fue extraído sin complicaciones.

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Section: Discussionunclassified

Absceso de pared dudenal secundario a "palillo de dientes" enclavado en duodeno como causa inusual de dolor abdominal crónico

Parra

Paipilla

Q³

et al. 2017

Rev. Colomb. Gastroenterol.

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“…Definitive diagnoses are made by laparotomy (53%), endoscopy (19%), imaging (14%), or by autopsy (12%). 2 Simple abdominal radiographic studies are unhelpful because wooden toothpicks are radiotransparent. 9 In the described case, computed tomography was found to be very useful for detecting and locating the toothpick and for determining the presence of adjacent organ injury and abscess formation.…”

Section: Discussionmentioning

confidence: 99%

“…However, early detection is often not easy because often patients do not recall the event and the symptoms related to toothpick ingestion are variable and nonspecific. 2 Even though a surgical approach is needed in many cases with a delayed diagnosis, endoscopic retrieval is possible and can result in rapid symptom relief. 2,3 Here, we describe a case of a toothpick impacted in the gastric wall that was removed endoscopically.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Removal of a Toothpick Impacted in the Stomach Wall by Mucosal Incision

Han

Bang

Kim

et al. 2012

Korean J Helicobacter Up Gastrointest Res

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Toothpicks are not uncommonly swallowed, and subsequently, may be impacted into gastrointestinal wall and cause morbidities, and even mortality. Therefore, the early diagnosis and immediate retrieval of an ingested toothpick is important. In many cases, endoscopic removal is attempted initially, but if this fails or a complication is encountered, surgery should be considered. The authors experienced a case of ingested toothpick penetrating the gastric wall. A 51-year-old woman visited our hospital with epigastric pain of one-week duration. Upper endoscopy revealed that the sharp end of a toothpick had been impacted into the distal antrum. Endoscopic removal using an alligator jaw forceps failed because the toothpick broke during removal and our continued attempts to extract the remnant resulted in it becoming more embedded in the stomach wall. In such circumstances, surgical treatment should be considered. However, we incised the mucosa to expose the remnant toothpick, and fortunately, we were then able to grasp and remove the toothpick using an alligator jaw forceps. We report this unusual case of a toothpick impacted in the gastric wall that was resolved endoscopically by mucosal incision. (Korean J Helicobacter Up Gastrointest Res 2012;12:276-279)

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“…Toothpick ingestion appears to be commonly implicated in intestinal perforations due to the length and bilateral pointed ends of this foreign body [1] . The most frequent site of injury from ingested toothpicks is duodenum, followed by sigmoid colon [4] . Toothpicks seem to be benign materials from its wooden composition comparing to metallic pin, but surprisingly high mortality rate of toothpick injury (18%) was reported in one study [4] .…”

Section: Discussionmentioning

confidence: 99%

“…The most frequent site of injury from ingested toothpicks is duodenum, followed by sigmoid colon [4] . Toothpicks seem to be benign materials from its wooden composition comparing to metallic pin, but surprisingly high mortality rate of toothpick injury (18%) was reported in one study [4] . Moreover, the mortality of patients presenting in shock or with entericvascular fistulas was extremely higher (70% and 80%, respectively) [4] .…”

Section: Discussionmentioning

confidence: 99%

Toothpick impaction with sigmoid colon pseudodiverticulum formation successfully treated with colonoscopy

Chung

Chung²,

Moon³

et al. 2008

WJG

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Foreign bodies in the colon are encountered with i n c re a s in g fre q uency, but only sporadic reports concerning their management have appeared in the literature. While most ingested foreign bodies usually pass through the gastrointestinal tract uneventfully, sharp foreign bodies such as toothpicks infrequently cause intestinal perforation and may even result in death. We report our experience with a patient with a sigmoid colon pseudodiverticulum formation, a complication of accidental ingestion of a toothpick that was diagnosed and successfully managed colonoscopically.

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Toothpick injury mimicking renal colic: case report and systematic review

Cited by 101 publications

References 30 publications

Absceso de pared dudenal secundario a "palillo de dientes" enclavado en duodeno como causa inusual de dolor abdominal crónico

Absceso de pared dudenal secundario a "palillo de dientes" enclavado en duodeno como causa inusual de dolor abdominal crónico

Endoscopic Removal of a Toothpick Impacted in the Stomach Wall by Mucosal Incision

Toothpick impaction with sigmoid colon pseudodiverticulum formation successfully treated with colonoscopy

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