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Successful diagnosis and treatment of ingested wooden toothpicks: Two case reports
RATIONALE: Foreign-body ingestion is a common phenomenon and foreign bodies are mostly excreted in stool. Once sharp bodies are ingested without being realized, perforation of intestine is possible and misdiagnosis may be made. We report 2 toothpick ingestion cases that were both diagnosed accuratel...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805422/ https://www.ncbi.nlm.nih.gov/pubmed/29384850 http://dx.doi.org/10.1097/MD.0000000000009710 |
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author | Lin, Nan Lin, Li Wu, Weihang Yang, Weijin Cai, Zhicong Hong, Jie Wang, Yu |
author_facet | Lin, Nan Lin, Li Wu, Weihang Yang, Weijin Cai, Zhicong Hong, Jie Wang, Yu |
author_sort | Lin, Nan |
collection | PubMed |
description | RATIONALE: Foreign-body ingestion is a common phenomenon and foreign bodies are mostly excreted in stool. Once sharp bodies are ingested without being realized, perforation of intestine is possible and misdiagnosis may be made. We report 2 toothpick ingestion cases that were both diagnosed accurately. PATIENT CONCERNS: We present 2 cases of middle-aged persons who suffered from abdominal pain. They did not realize and provide any information of having the history of swallowing foreign bodies. DIAGNOSES: No serious problem was discovered in the examination and blood test. There were somewhere abnormal in computed tomography (CT) images and ultrasound (US). Then a toothpick was found penetrating the wall of intestine into the adjacent viscera in the laparotomy. INTERVENTIONS: Both patients in the 2 cases were undergone operation to remove the toothpicks. OUTCOMES: The 2 cases’ prognoses were good. LESSONS: When accepting patients with abdominal pain, suitable examining means and careful observation should be given to find easily ignored lesions. CT is recommended in the diagnostic process of swallowed foreign mass. When there is a vague place, US can be used for further diagnose. |
format | Online Article Text |
id | pubmed-5805422 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-58054222018-02-20 Successful diagnosis and treatment of ingested wooden toothpicks: Two case reports Lin, Nan Lin, Li Wu, Weihang Yang, Weijin Cai, Zhicong Hong, Jie Wang, Yu Medicine (Baltimore) 4500 RATIONALE: Foreign-body ingestion is a common phenomenon and foreign bodies are mostly excreted in stool. Once sharp bodies are ingested without being realized, perforation of intestine is possible and misdiagnosis may be made. We report 2 toothpick ingestion cases that were both diagnosed accurately. PATIENT CONCERNS: We present 2 cases of middle-aged persons who suffered from abdominal pain. They did not realize and provide any information of having the history of swallowing foreign bodies. DIAGNOSES: No serious problem was discovered in the examination and blood test. There were somewhere abnormal in computed tomography (CT) images and ultrasound (US). Then a toothpick was found penetrating the wall of intestine into the adjacent viscera in the laparotomy. INTERVENTIONS: Both patients in the 2 cases were undergone operation to remove the toothpicks. OUTCOMES: The 2 cases’ prognoses were good. LESSONS: When accepting patients with abdominal pain, suitable examining means and careful observation should be given to find easily ignored lesions. CT is recommended in the diagnostic process of swallowed foreign mass. When there is a vague place, US can be used for further diagnose. Wolters Kluwer Health 2018-02-02 /pmc/articles/PMC5805422/ /pubmed/29384850 http://dx.doi.org/10.1097/MD.0000000000009710 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | 4500 Lin, Nan Lin, Li Wu, Weihang Yang, Weijin Cai, Zhicong Hong, Jie Wang, Yu Successful diagnosis and treatment of ingested wooden toothpicks: Two case reports |
title | Successful diagnosis and treatment of ingested wooden toothpicks: Two case reports |
title_full | Successful diagnosis and treatment of ingested wooden toothpicks: Two case reports |
title_fullStr | Successful diagnosis and treatment of ingested wooden toothpicks: Two case reports |
title_full_unstemmed | Successful diagnosis and treatment of ingested wooden toothpicks: Two case reports |
title_short | Successful diagnosis and treatment of ingested wooden toothpicks: Two case reports |
title_sort | successful diagnosis and treatment of ingested wooden toothpicks: two case reports |
topic | 4500 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805422/ https://www.ncbi.nlm.nih.gov/pubmed/29384850 http://dx.doi.org/10.1097/MD.0000000000009710 |
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