Toothpick ingestion causing duodenal perforation

Pediatric Emergency Care
Monica RagazziMario G Bianchetti

Abstract

In childhood, almost all swallowed objects that successfully navigate the esophagus pass through the gut without complications. In a 15-year-old male adolescent with the initial working diagnosis of acalculous cholecystitis, computed tomography revealed a thickened wall of the second duodenal portion, some infiltration of the periduodenal tissue, and a hyperdense needle-shape structure probably passing through the duodenal wall. Endoscopy revealed a wooden toothpick perforating the duodenum that was carefully retracted. An uneventful recovery followed the endoscopic removal of the foreign body. A computer-based search of the literature to examine the injuries caused by ingested toothpicks since 1960 found only 4 reports in 5 children.

References

Dec 1, 1996·Journal of Pediatric Gastroenterology and Nutrition·M A O'GormanW D Jackson
Sep 10, 2002·The Journal of Emergency Medicine·Siu Fai Li, Kimberly Ender
Nov 25, 2003·Pediatric Radiology·Beverley Newman

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Citations

Jun 22, 2014·AJR. American Journal of Roentgenology·Mark GuelfguatC Jason DiPoce
Jan 16, 2015·Journal of Surgical Case Reports·Alain Chichom-Mefire
Apr 11, 2012·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Alice Ying-Jung WuChang-Pan Liu
Apr 26, 2014·Clinical Endoscopy·Eun Ae ChoJong Sun Rew
Apr 2, 2014·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Benjamin SahnCarol A Ford
Feb 17, 2017·Case Reports in Gastroenterology·Bhavtosh DedaniaMurali Dharan
Jan 21, 2017·The American Journal of Case Reports·Inanc Samil SariciAli Koc
Sep 23, 2020·International Journal of Surgery Case Reports·Gianmaria Casoni PattaciniMicaela Piccoli
Mar 5, 2021·Journal of Paediatrics and Child Health·Eric Scheier, Chani Topf
Jun 5, 2021·International Journal of Pediatrics & Adolescent Medicine·Kalagi DanaWajeeh AlDekhail

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