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Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick

Gastrointestinal (GI) bleeding is a common clinical condition that can be caused by a variety of reasons. Bleeding can occur anywhere in the GI tract, and it usually presents as vomiting of blood, melena or black stools. We herein present a case of a 48-year-old man who was ultimately diagnosed with...

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Autores principales: Xiong, Yao, Yan, Jing, Yan, Gaowu, Feng, Lei, Li, Yong, He, Suyu, Li, Ruyi, Tan, Gangcheng, Feng, Bo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10285080/
https://www.ncbi.nlm.nih.gov/pubmed/37359020
http://dx.doi.org/10.3389/fmed.2023.1182746
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author Xiong, Yao
Yan, Jing
Yan, Gaowu
Feng, Lei
Li, Yong
He, Suyu
Li, Ruyi
Tan, Gangcheng
Feng, Bo
author_facet Xiong, Yao
Yan, Jing
Yan, Gaowu
Feng, Lei
Li, Yong
He, Suyu
Li, Ruyi
Tan, Gangcheng
Feng, Bo
author_sort Xiong, Yao
collection PubMed
description Gastrointestinal (GI) bleeding is a common clinical condition that can be caused by a variety of reasons. Bleeding can occur anywhere in the GI tract, and it usually presents as vomiting of blood, melena or black stools. We herein present a case of a 48-year-old man who was ultimately diagnosed with perforation of the lower ileum, pseudoaneurysm of the right common iliac artery, lower ileum-right common iliac artery fistula, and pelvic abscess caused by accidental ingestion of a toothpick. This case suggests that accidental ingestion of a toothpick may also be the cause of GI bleeding in some patients. For patients with unexplained GI bleeding, especially those with small bowel bleeding, a rational and combined use of gastroduodenoscopy, colonoscopy, unenhanced and contrast-enhanced abdominal CT can help detect the causes of GI bleeding and improve diagnostic accuracy.
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spelling pubmed-102850802023-06-23 Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick Xiong, Yao Yan, Jing Yan, Gaowu Feng, Lei Li, Yong He, Suyu Li, Ruyi Tan, Gangcheng Feng, Bo Front Med (Lausanne) Medicine Gastrointestinal (GI) bleeding is a common clinical condition that can be caused by a variety of reasons. Bleeding can occur anywhere in the GI tract, and it usually presents as vomiting of blood, melena or black stools. We herein present a case of a 48-year-old man who was ultimately diagnosed with perforation of the lower ileum, pseudoaneurysm of the right common iliac artery, lower ileum-right common iliac artery fistula, and pelvic abscess caused by accidental ingestion of a toothpick. This case suggests that accidental ingestion of a toothpick may also be the cause of GI bleeding in some patients. For patients with unexplained GI bleeding, especially those with small bowel bleeding, a rational and combined use of gastroduodenoscopy, colonoscopy, unenhanced and contrast-enhanced abdominal CT can help detect the causes of GI bleeding and improve diagnostic accuracy. Frontiers Media S.A. 2023-06-08 /pmc/articles/PMC10285080/ /pubmed/37359020 http://dx.doi.org/10.3389/fmed.2023.1182746 Text en Copyright © 2023 Xiong, Yan, Yan, Feng, Li, He, Li, Tan and Feng. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Xiong, Yao
Yan, Jing
Yan, Gaowu
Feng, Lei
Li, Yong
He, Suyu
Li, Ruyi
Tan, Gangcheng
Feng, Bo
Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick
title Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick
title_full Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick
title_fullStr Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick
title_full_unstemmed Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick
title_short Case report: An unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick
title_sort case report: an unusual case of small bowel bleeding and common iliac artery pseudoaneurysm caused by an unnoticed swallowed toothpick
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10285080/
https://www.ncbi.nlm.nih.gov/pubmed/37359020
http://dx.doi.org/10.3389/fmed.2023.1182746
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