Toothpick Obstruction of the Ureter

Plavcan, William G.; McWilliams, Wayne A.

doi:10.1016/s0022-5347(17)42311-1

Cited by 19 publications

(9 citation statements)

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“…Risk factors strongly associated with ingestion of toothpicks include impaired palatal sensation (as a result of dentures or dental plates as seen in the patient presented in this case), alcoholics (also associated with reduced palatal sensation), dementia, being a child or being in the habit of “chewing” on toothpicks13 14 The variation in potential sites of internal injury can delay diagnosis if no clear history of ingestion is noted with internal injury mimicking other pathological processes, such as acute appendicitis as described in this case. Sites of injury are predominantly to the gastrointestinal13 track; however, other areas of injury such as mediastinal structures,15 16 liver,2 ureter,17 bladder,18 vena cava7 and aorta8 have been reported. Wooden toothpicks pose an additional problem to early preoperative diagnosis due to their variable radiolucency with only 5.5–15% of wooden foreign bodies detectable on standard radiographs 19 20.…”

Section: Discussionmentioning

confidence: 99%

Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion

et al. 2013

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SUMMARYA 77-year-old edentulous man presented to the accident and emergency department with a sudden onset of sharp right-sided abdominal pain. The patient reported a change in his bowel habit with constipation over a 6 month period but did not report any significant choking event or ingestion of a foreign body in the preceding months. On examination the patient was maximally tender with guarding over McBurneys point. CT scan showed an abnormal segment of distal ileum with a 3 cm high attenuation focus which had penetrated the bowel wall. At laparotomy the patient was found to have a perforation of his distal ileum caused by an ingested toothpick. Patients wearing dental plates or dentures are at higher risk of toothpick ingestion due to impaired palatal sensation. CT scanning, in the appropriate setting, may aid diagnosis and lower operator risk of sharp related injury at the time of operation. BACKGROUND

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Section: Discussionmentioning

confidence: 99%

Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion

et al. 2013

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“…A case of a plastic cocktail toothpick ingested accidentally 15 years previously presented clinically as microscopic haematuria and a right hydroureteronephrosis. 11 The toothpick exiting the caecum formed an abscess, and then migrated posteriorly to the right ureter causing an obstruction.…”

Section: Discussionmentioning

confidence: 99%

Toothpick perforation of a colon diverticulum: an adjunct autopsy finding

Wilcher

2010

Med Sci Law

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This case report details the accidental death of an elderly gentleman who was a passenger in a motor vehicle accident, the cause and mechanism of death being determined as cardiac tamponade due to a traumatic laceration of the ventricle. The forensic autopsy revealed as an adjunct finding a mechanical trauma to the descending colon, being a perforation of a colon diverticulum due to an ingested toothpick. The historical aspects of toothpicks, risk factors associated with the accidental ingestion of toothpicks and different clinical presentations associated with ingestion and peristaltic migration of toothpicks as a foreign body are discussed.

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“…The involvement of pleura [ 28 ], ureter [ 29 ], and bladder [ 30 , 31 , 32 ] in such foreign body migration have all been previously reported, and in some cases described, the toothpick caused a fistula with a major blood vessel, such as the aorta or inferior vena cava [ 8 , 33 , 34 , 35 , 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Computed Tomographic Detection of Toothpick Perforation of the Jejunum: Case Report and Review of the Literature

Reginelli¹,

Liguori²,

Perrotta³

et al. 2007

Radiology Case Reports

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Foreign body ingestion is commonly encountered in the emergency department. Although in most cases, the ingested object will pass uneventfully in the feces [1], ingestion of sharp foreign bodies such as dental plates, sewing needles, toothpicks, fish bones and chicken bones carries increased risk of gastrointestinal perforation [2, 3, 4].The use of toothpicks as both tooth-clearing implements and eating utensils increase the likelihood of toothpick unintentional ingestion [5].Toothpicks account for 9% of reported foreign bodies ingested [6]. These pointed wooden bodies when accidentally swallowed are associated with higher risk of complications, such as gastric, small bowel or colonic perforation, obstruction, colonic impaction, gastrointestinal bleeding, subphrenic abscess, fistula formation, sepsis and/or death due to the damaged caused by the sharp pointed ends [7, 8, 9].Unfortunately, many patients who ingested such objects fail to remember the mis-swallowing event when symptoms of perforation develop, making diagnosis problematic.We present a case of jejunal perforation secondary to an ingested wooden toothpick correctly diagnosed with Computed Tomography (CT).

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Toothpick Obstruction of the Ureter

Abstract: We report an unusual case of ureteral obstruction from a toothpick that migrated from the cecum to the right ureter.

Cited by 19 publications

References 1 publication

Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion

Radiological diagnosis of a small bowel perforation secondary to toothpick ingestion

Toothpick perforation of a colon diverticulum: an adjunct autopsy finding

Computed Tomographic Detection of Toothpick Perforation of the Jejunum: Case Report and Review of the Literature

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