Small bowel perforation by toothpick.
| Autor: | Lai CMS; Department of Surgery, Prince of Wales Hospital, Hong Kong., Lui TH; Orthopaedics and Traumatology, North District Hospital, Hong Kong, Hong Kong. |
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| Jazyk: | angličtina |
| Zdroj: | BMJ case reports [BMJ Case Rep] 2018 Jul 11; Vol. 2018. Date of Electronic Publication: 2018 Jul 11. |
| DOI: | 10.1136/bcr-2018-225258 |
| Abstrakt: | Toothpick ingestion is a rare but potentially fatal condition which may cause bowel perforation and rare complications if it migrates out of the gastrointestinal tract. This case report describes a delayed presentation of toothpick-induced small bowel injury leading to abdominal wall abscess and spondylodiscitis. A 51-year-old man was admitted twice with fever and loin pain, but repeated non-contrast CT was reported to be unremarkable. However, 5 months later, he presented with a left lower quadrant abdominal wall abscess and back pain. An updated CT showed a linear hyperdensity which was already present in previous scans, causing small bowel perforation, abdominal wall abscess and spondylodiscitis. Emergency laparotomy identified a toothpick causing small bowel perforation. The abdominal wall abscess was incised and drained, and small bowel was repaired. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2018. No commercial re-use. See rights and permissions. Published by BMJ.) |
| Databáze: | MEDLINE |
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